Individual
NICHOLE SHEPHERD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
14825 SW FARMINGTON RD, BEAVERTON, OR 97007-2724
(503) 731-3933
(503) 239-1262
Mailing address
10305 SW WILSONVILLE RD APT 11, WILSONVILLE, OR 97070-9545
(503) 421-7500
(503) 239-1262
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
03/03/2020
Last updated
03/03/2020
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