Provider Demographics
NPI:1811128457
Name:FLEGAL, SHARON STEBBINGS (LMFT)
Entity type:Individual
Prefix:MRS
First Name:SHARON
Middle Name:STEBBINGS
Last Name:FLEGAL
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1704 SE 22ND AVE
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97214-4848
Mailing Address - Country:US
Mailing Address - Phone:503-235-5799
Mailing Address - Fax:
Practice Address - Street 1:1704 SE 22ND AVE
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97214-4848
Practice Address - Country:US
Practice Address - Phone:503-235-5799
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-30
Last Update Date:2009-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORT0177106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist