Provider Demographics
NPI:1437907953
Name:SHIMKO, HALEY (BA)
Entity type:Individual
Prefix:MISS
First Name:HALEY
Middle Name:
Last Name:SHIMKO
Suffix:
Gender:F
Credentials:BA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:705 SE BASELINE ST STE 206
Mailing Address - Street 2:
Mailing Address - City:HILLSBORO
Mailing Address - State:OR
Mailing Address - Zip Code:97123-4244
Mailing Address - Country:US
Mailing Address - Phone:503-352-7367
Mailing Address - Fax:
Practice Address - Street 1:705 SE BASELINE ST STE 206
Practice Address - Street 2:
Practice Address - City:HILLSBORO
Practice Address - State:OR
Practice Address - Zip Code:97123-4244
Practice Address - Country:US
Practice Address - Phone:503-352-7367
Practice Address - Fax:971-266-2957
Is Sole Proprietor?:No
Enumeration Date:2024-05-09
Last Update Date:2024-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health