Individual
AMY E SHOREY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1305 NE FREMONT ST, PORTLAND, OR 97212-2218
(503) 853-9727
Mailing address
1937 NE SARATOGA ST, PORTLAND, OR 97211-5236
(503) 853-9727
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L3842
OR
Other
Enumeration date
11/22/2008
Last updated
11/22/2008
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