Individual provider · Type 1 NPI

Vivek Shantharam

Mental Health Counselor · Tigard, OR

NPI number 1295345908 Active

Practice location

8915 SW Center St
Tigard, OR 97223-6307

Call (503) 726-3690 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1295345908

Vivek Shantharam's National Provider Identifier is 1295345908, issued on Aug 6, 2020. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Tigard, OR. The record was last updated on Aug 6, 2020.