Patrick Walter Shannon

NPI #1437977089 in Boardman, Oregon

Provider Information

NPI Number
1437977089
Entity Type
Individual
Name
Patrick Walter Shannon
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Peer Specialist
Enumeration Date
Oct 2, 2024
Last Updated
Oct 2, 2024

Practice Location

Address
104 SW KINKADE
State
Oregon
ZIP Code
97818
Phone
(541) 481-2911

Specialties & Taxonomy Codes

Specialty
Peer Specialist

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