Search › Oregon › 101YM0800X
Shanako Devoll, CADC I, QMHA
NPI 1316254022 · on the registry since 2010
Practice
- Address
- 2450 Se Belmont St
Portland, OR 97214 - Phone
- (503) 887-6255
- Fax
- (503) 212-0969
- Organisation at this address
- Portland Bodywork
Select Healthcare Llc
Healing Tides Counseling, LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 101YM0800X
101YM0800X
- Also registered as
- 101YA0400X
171M00000X - Licence states on file
- OR
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-04-27
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon