Peter Shapoval

NPI #1093111437 in Milwaukie, Oregon

Provider Information

NPI Number: 1093111437
Entity Type: Individual
Name: Peter Shapoval
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker - Clinical
Enumeration Date: Nov 12, 2014
Last Updated: Nov 12, 2014

Practice Location

Address: 4545 SE INA AVE APT 9
City: Milwaukie
State: Oregon
ZIP Code: 97267-5918
Phone: (503) 654-5678

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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