| Stephani Shaver Lcsw Llc | |
|
15110 Boones Ferry Rd #220 Lake Oswego OR 97035-3468 | |
| (503) 675-2830 | |
| Not Available |
| Full Name | Stephani Shaver Lcsw Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 15110 Boones Ferry Rd, Lake Oswego, Oregon |
| Authorized Official Name and Position | Stephani Shaver (OWNER) |
| Authorized Official Contact | 5036752830 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stephani Shaver Lcsw Llc 15110 Boones Ferry Rd #220 Lake Oswego OR 97035-3468 Ph: () - | Stephani Shaver Lcsw Llc 15110 Boones Ferry Rd #220 Lake Oswego OR 97035-3468 Ph: (503) 675-2830 |
| NPI Number | 1306068424 |
|---|---|
| Provider Enumeration Date | 05/02/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306068424 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | L3579 (Oregon) | Primary |
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