ANNETTE URBAN SHORE MA NPI 1164544284

NPI Information

NPI: 1164544284
Provider Name: ANNETTE URBAN SHORE, MA
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
3434 SW KELLY AVE
SUITE 8
PORTLAND, OR
ZIP 97239
Phone: (503) 222-1807
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Annette Urban Shore, MA is a mental health counselor in Portland, OR. Annette Urban Shore, MA NPI is 1164544284. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3434 SW KELLY AVE
SUITE 8
PORTLAND, OR
ZIP 97239-630
Phone: (503) 222-1807
Fax: (503) 220-5041

The enumeration date for this NPI number is 4/6/2007 and was last updated on 12/7/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	C1596	OREGON	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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