Individual provider · Type 1 NPI

Edgar Kam Shiroma Ii

Mental Health Counselor · Portland, OR

NPI number 1376801415 Active

Practice location

3716 NE Martin Luther King Jr Blvd
Portland, OR 97212-1111

Fax (503) 288-8168

Mailing address

14600 NW Cornell Rd
Portland, OR 97229-5442

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1376801415

Edgar Kam Shiroma Ii's National Provider Identifier is 1376801415, issued on Apr 26, 2012. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Portland, OR. The record was last updated on Apr 26, 2012.