Individual
SHELBY BASSETT MILAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
7175 SW BEVELAND RD STE 200, TIGARD, OR 97223-8665
(503) 201-3222
Mailing address
7175 SW BEVELAND RD STE 200, TIGARD, OR 97223-8665
(503) 201-3222
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C3579
OR
Other
Enumeration date
11/25/2014
Last updated
03/03/2015
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