Ketki Girish Shah, PHD

NPI #1619103892 in Clackamas, Oregon

Provider Information

NPI Number: 1619103892
Entity Type: Individual
Name: Ketki Girish Shah, PHD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Psychologist - Clinical Child & Adolescent
Credential: PHD
Enumeration Date: Jun 2, 2009
Last Updated: Mar 29, 2022

Practice Location

Address: 8645 SE SUNNYBROOK BLVD STE 200
City: Clackamas
State: Oregon
ZIP Code: 97015-6841
Phone: (503) 659-1694

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - Clinical Child & Adolescent — Clinical Child & Adolescent	103TC2200X	Primary

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