Individual
SHELLY LINN BARTEAUX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
QMHA
Contact information
Practice address
2415 SE 43RD AVE STE 100, PORTLAND, OR 97206-1666
(503) 238-0705
(503) 236-7166
Mailing address
6141 SW RADCLIFFE ST, PORTLAND, OR 97219-5758
(503) 244-1843
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/22/2007
Last updated
11/03/2010
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