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Individual

SHELBY DIANE TUTHILL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.S.

Contact information

Practice address
4800 MEADOWS RD STE 300, LAKE OSWEGO, OR 97035-5277
(503) 776-0017
Mailing address
1411 SW MORRISON ST STE 310, PORTLAND, OR 97205-1945

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
3947
OR
103TB0200X
Cognitive & Behavioral Psychologist
3947
OR
103TC1900X
Counseling Psychologist
3947
OR

Other

Enumeration date
07/07/2022
Last updated
09/05/2025
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