Search › Oregon › 363LF0000X
Debra Shannon, ARNP
NPI 1598517088 · on the registry since 2024
Practice
- Address
- 1410 Ne 106th Ave
Portland, OR 97220 - Phone
- (503) 460-0405
- Fax
- (503) 460-0434
- Organisation at this address
- Bridge City Family Medical Clinic, Pc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 15
Registry record
- Primary taxonomy
- 363LF0000X
363LF0000X
- Licence states on file
- WA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-04-05
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon