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Contact Information

SHEA LOTT, PHD
621 SW ALDER ST STE 520
PORTLAND, OR97205-3620
 Phone: 503-494-4745
 Fax: 503-494-4747
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
 

Clinical Child & Adolescent

103TC2200X 62 Psychologist, Clinical
 

Clinical Neuropsychologist

103G00000X
 

Family

103TF0000X 62 Psychologist, Clinical
 

Group Psychotherapy

103TP2701X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for SHEA LOTT · (Male)

NPI # 1639566391
Status Active
Credentials PHD
Entity Individual
Enumeration date 04/21/2015
Last updated 07/21/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • OR License # 2604
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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