Organization
SHARON M. LABS, PH.D., L.L.C.
Active
Organization
SHARON M. LABS, PH.D., L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHARON M. LABS PH.D. (NEUROPSYCHOLOGIST/MEMBER MANAGER)
(503) 310-9333
Entity
Organization
Contact information
Practice address
2055 SW MOUNT HOOD LN, PORTLAND, OR 97239-1561
(503) 310-9333
(503) 221-4481
Mailing address
2055 SW MOUNT HOOD LN, PORTLAND, OR 97239-1561
(503) 310-9333
(503) 221-4481
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
608
OR
103T00000X
Psychologist
608
OR
103TC0700X
Clinical Psychologist
608
OR
103TH0004X
Health Psychologist
608
OR
103TR0400X
Rehabilitation Psychologist
608
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
150266
—
OR
01
—
1689700163
NPI FOR SHARON M. LABS, PH.D., P.C.
OR
Enumeration date
01/11/2016
Last updated
01/11/2016
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