Individual
TALIA SHIDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15280 NW CENTRAL DR STE 218, PORTLAND, OR 97229-7809
(971) 442-5192
Mailing address
15280 NW CENTRAL DR STE 218, PORTLAND, OR 97229-7809
(971) 442-5192
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
106H00000X
Marriage & Family Therapist
Primary
T1246
OR
Other
Enumeration date
05/06/2014
Last updated
06/29/2025
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