Individual provider · Type 1 NPI

Shyam Abraham Kommukuri

Professional Counselor · Tigard, OR

NPI number 1639907678 Active

Practice location

7320 SW Hunziker Rd Ste 204
Tigard, OR 97223-2301

Mailing address

553 NW Ridge Rd
Hammond, OR 97121-9611

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XC2453 (OR)

Professional Counselor: Definition to come...

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About NPI 1639907678

Shyam Abraham Kommukuri's National Provider Identifier is 1639907678, issued on Jul 22, 2024. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Tigard, OR. The record was last updated on Jul 22, 2024.