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NPI Code Detail

MEDICARE: SHEILA REDMAN LCSW

MEDICARE: SHEILA REDMAN LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social WorkerL2186OR

General Provider Information

NPI Number : 1720055858
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHEILA REDMAN LCSW
Provider Business Mailing Address
First Line : 2051 KAEN RD
Second Line : SUITE 398
City : OREGON CITY
State : OR
Zip : 97045-4088
Country : US
Telephone Number : 503-742-5300
Fax Number : 503-742-5301
Provider Business Practice Location Address
First Line : 524 MAIN ST
Second Line :
City : OREGON CITY
State : OR
Zip : 97045-1824
Country : US
Telephone Number : 503-655-8401
Fax Number : 503-655-8429
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/07/2006
Last Update Date : 07/08/2007

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Directions to “ SHEILA REDMAN LCSW” Practice Location

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