Individual provider · Type 1 NPI

Lana Joy Shotwell Kubo, MA

Professional Counselor · Portland, OR

NPI number 1750431649 Active

Practice location

3415 SE Powell Blvd
Portland, OR 97202-3371

Call (503) 813-7705 Map

Fax (503) 205-0188

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
Professional Counselor Primary 101YP2500XC2396 (OR)

Professional Counselor: Definition to come...

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About NPI 1750431649

Lana Joy Shotwell Kubo, MA's National Provider Identifier is 1750431649, issued on Jan 11, 2007. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Portland, OR. The record was last updated on Feb 23, 2010.