Shannon Fay, PA-C

NPI #1023177565 in Portland, Oregon

Provider Information

NPI Number
1023177565
Entity Type
Individual
Name
Shannon Fay, PA-C
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant - Medical
Credential
PA-C
Enumeration Date
Dec 8, 2006
Last Updated
Dec 29, 2020

Practice Location

Address
3181 SW SAM JACKSON PARK RD
State
Oregon
ZIP Code
97239-3011
Phone
(503) 494-3442

Specialties & Taxonomy Codes

Specialty
Physician Assistant
Physician Assistant - MedicalMedical

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