Individual
BETH SHIVELEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6365 SW CHESTNUT LN, BEAVERTON, OR 97005-4296
(503) 421-9119
Mailing address
6365 SW CHESTNUT LN, BEAVERTON, OR 97005-4296
(503) 421-9119
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C4120
OR
Other
Enumeration date
05/21/2016
Last updated
11/20/2025
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