Individual
MRS. SHELLY J COWAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3710 SW US VETERANS HOSPITAL ROAD, PORTLAND VA MEDICAL CENTER, PORTLAND, OR 97239
(503) 220-8262
Mailing address
19417 SE 30TH ST, CAMAS, WA 98607-9437
(360) 954-5452
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L3644
OR
Other
Enumeration date
08/24/2006
Last updated
07/08/2007
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