Individual provider · Type 1 NPI

Shirley Ann Proctor, MSW

Mental Health Counselor · Portland, OR

NPI number 1295866275 Active

Practice location

1500 NE Irving St, Suite 250
Portland, OR 97232-2243

Mailing address

2425 SW 64th Ave
Portland, OR 97221-1301

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1295866275

Shirley Ann Proctor, MSW's National Provider Identifier is 1295866275, issued on Mar 8, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Portland, OR. The record was last updated on Jul 8, 2007.