Individual provider · Type 1 NPI

Nicole Shaw

Mental Health Counselor · Portland, OR

NPI number 1801253703 Active

Practice location

847 NE 19th Ave
Portland, OR 97232

Mailing address

PO Box 8459
Portland, OR 97207

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1801253703

Nicole Shaw's National Provider Identifier is 1801253703, issued on Jan 22, 2016. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Portland, OR. The record was last updated on Jan 22, 2016.