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DR. AUDREY MAY SHERMAN PH.D.

Clinical Neuropsychologist

Portland, Oregon

Provider NPI: 1639133564

Provider Information:
DR. AUDREY MAY SHERMAN PH.D.
Gender: F


Practice Location:
1916 SW MARIGOLD ST  PORTLAND, OR 97219 US
Tel: 503-334-7019  Fax: 503-892-4557

Business Mailing Address:
1916 SW MARIGOLD ST  PORTLAND, OR 97219 US
Tel: 503-334-7019  Fax: 503-892-4557

Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y103G00000XBehavioral Health & Social Service Providers
Clinical Neuropsychologist
OR1490

Other Provider Identifiers:

IssuerNumberStateType
121535OR08
022924OR05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin







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