Susan Shelbourne, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

C4783 Issued in OR

Practice address

3990 Collins Way Ste 202
Lake Oswego, OR 97035-3459

Phone

(503) 675-2830

Fax

(503) 675-2852

NPI assigned

Aug 15, 2018

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1534291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534291200000",
    "number": "1922588334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1831 WESTBERRY CT",
            "city": "WEST LINN",
            "state": "OR",
            "postal_code": "970684830",
            "telephone_number": "503-841-7079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3990 COLLINS WAY STE 202",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970353459",
            "telephone_number": "503-675-2830",
            "fax_number": "503-675-2852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHELBOURNE",
        "first_name": "SUSAN",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-15",
        "last_updated": "2018-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OR",
            "license": "C4783",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maha Sabah Shakir, M.D.
• Stephani Jene Shaver, LCSW
• Kandi Denise Shearer, M.S.
• Melinda Anne Shearer, DPT
• Chera Sheets, RT
• Susan Kay Shelton, PTA
• Brendon J Shibley
• Amanda Jean Shinpaugh, PA-C
• Ren Shirai, DO
• Trent M Shoemaker, D.C.

• Professional Counselor in Lake Oswego, OR
• Providers in Lake Oswego, OR by specialty
• Professional Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.