Individual
MARCELLA SHOOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
4212 NE BROADWAY, PORTLAND, OR 97213-1422
(503) 249-8787
Mailing address
541 NE 20TH AVE, PORTLAND, OR 97232-2862
(503) 963-2801
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
WA
104100000X
Social Worker
Primary
L13343
OR
104100000X
Social Worker
—
—
Other
Enumeration date
12/18/2015
Last updated
06/08/2026
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