Individual
SHARON M. LABS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
2055 SW MOUNT HOOD LN, PORTLAND, OR 97239-1561
(503) 224-3393
(503) 310-9333
Mailing address
2055 SW MOUNT HOOD LN, PORTLAND, OR 97239-1561
(503) 224-3393
(503) 310-9333
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
608
OR
103T00000X
Psychologist
608
OR
103TC0700X
Clinical Psychologist
608
OR
103TH0100X
Health Service Psychologist
608
OR
103TR0400X
Rehabilitation Psychologist
608
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
150266
—
OR
Enumeration date
10/26/2005
Last updated
12/12/2014
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