Shannon Lee Avila

NPI #1942819768 in Umatilla, Oregon

Provider Information

NPI Number: 1942819768
Entity Type: Individual
Name: Shannon Lee Avila
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Case Manager/Care Coordinator
Enumeration Date: Jul 28, 2020
Last Updated: Jul 28, 2020

Practice Location

Address: 290 WILLAMETTE ST
City: Umatilla
State: Oregon
ZIP Code: 97882-6601
Phone: (541) 922-0880

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Case Manager/Care Coordinator	171M00000X	Primary

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