| Shearwater Counseling Services | |
|
510 Sw 3rd Ave Ste 200 Portland OR 97204-2507 | |
| (808) 281-4616 | |
| (937) 544-4009 |
| Full Name | Shearwater Counseling Services |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 510 Sw 3rd Ave Ste 200, Portland, Oregon |
| Authorized Official Name and Position | Carla Fadriquela (OWNER) |
| Authorized Official Contact | 9713510485 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shearwater Counseling Services 2980 Sw 123rd Ave Beaverton OR 97005-1325 Ph: (808) 281-4616 | Shearwater Counseling Services 510 Sw 3rd Ave Ste 200 Portland OR 97204-2507 Ph: (808) 281-4616 |
| NPI Number | 1467011577 |
|---|---|
| Provider Enumeration Date | 06/12/2019 |
| Last Update Date | 06/12/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467011577 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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