Wade, Shyra Q

Wade, Shyra Q is an individual health care provider with primary practice located at 620 Ne 2Nd St , Gresham OR 97030-7514. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Social Worker is her primary health care specialty. Wade, Shyra Q can be contacted via phone (971) 274-3757.

Contact Information

Primary practice address
620 Ne 2Nd St Gresham OR 97030-7514
Phone: (971) 274-3757
Fax: (503) 912-5740
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 19-QMHA-I-01324 Oregon
Behavioral Health & Social Service Providers / Social Worker 104100000X A13083 Oregon

Profile Details

NPI number 1689029365
LBN Legal business name Wade, Shyra Q
Credentials CSWA/QMHA-I
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 29th, 2016
Last updated Aug 1st, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689029365 NPPES
Oregon MEDICAID 500760476

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