Individual
DR. MICHELLE LOUISE SHAWVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
45 NW PARK PL, BEND, OR 97703-2954
(541) 508-7746
Mailing address
45 NW PARK PL, BEND, OR 97703-2954
(541) 508-7746
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
2158
OR
103TC0700X
Clinical Psychologist
Primary
2158
OR
Other
Enumeration date
06/20/2013
Last updated
04/25/2016
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