Provider Demographics
NPI:1265652259
Name:CLASSEN, SHARON EVELYN
Entity Type:Individual
Prefix:MRS
First Name:SHARON
Middle Name:EVELYN
Last Name:CLASSEN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15710 SALT CREEK ROAD
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:OR
Mailing Address - Zip Code:97338
Mailing Address - Country:US
Mailing Address - Phone:503-623-3714
Mailing Address - Fax:
Practice Address - Street 1:3000 MARKET STREET NE SUITE 530
Practice Address - Street 2:OPTIONS COUNSELING SERVICE OF OREGON
Practice Address - City:SALEM
Practice Address - State:OR
Practice Address - Zip Code:97301
Practice Address - Country:US
Practice Address - Phone:503-390-5637
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor