Most Relevant Information
Provider Data
| NPI Number: | 1003181983 |
| Provider Name: | JENI LYNNE SHILMAN LCSW |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | 1740 |
Most Important Dates
| Enumeration Date: | 03/12/2012 |
| Last Updated: | 03/12/2012 |
Provider Practice Location
2701 NW VAUGHN ST
PORTLAND
OR
972105311
Practice Location Phone/Fax
| Phone: | 5034995200 |
| Fax: |
Provider Mailing Location
2701 NW VAUGHN ST
PORTLAND
OR
972105311
Provider Mailing Phone/Fax
| Phone: | 5034995200 |
| Fax: |