Individual
DR. SHELLEY NICOLE OSBORN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
416 NW 13TH AVE APT 304, PORTLAND, OR 97209-2935
(707) 860-3265
Mailing address
416 NW 13TH AVE APT 304, PORTLAND, OR 97209-2935
(707) 860-3265
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
25-QMHP-R-3500
OR
103TC0700X
Clinical Psychologist
Primary
PSY28074
CA
Other
Enumeration date
07/30/2008
Last updated
04/03/2025
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