Individual
BRETTINA SHOOP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5441 S MACADAM AVE STE R, PORTLAND, OR 97239-3822
(971) 251-8555
Mailing address
5441 S MACADAM AVE # 5806, PORTLAND, OR 97239-6106
(971) 251-8555
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
R9096
OR
Other
Enumeration date
03/05/2026
Last updated
03/05/2026
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