Individual
DR. SHELLY BERNARD GETZLAF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1017 SW MORRISON ST, STE 411, PORTLAND, OR 97205-2629
(503) 646-4664
(503) 521-7041
Mailing address
1017 SW MORRISON ST, STE 411, PORTLAND, OR 97205-2629
(503) 646-4664
(503) 521-7041
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
717
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000476
—
OR
Enumeration date
12/15/2006
Last updated
02/28/2018
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