Individual
MR. JOHN SHERIDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
20595 SW TV HWY, ALOHA, OR 97006-1767
(503) 277-3077
Mailing address
931 SE ALBERTINE ST, HILLSBORO, OR 97123-5191
(503) 277-3077
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L4487
OR
Other
Enumeration date
12/23/2009
Last updated
12/23/2009
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