Search › Oregon › 363LA2100X
Shannon Carlson
NPI 1700285582 · on the registry since 2014
Practice
- Address
- 3311 Riverbend Dr
Springfield, OR 97477 - Phone
- (541) 484-4332
- Fax
- (541) 302-0786
- Organisation at this address
- University Professional Services
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 36
Additional practice sites
- 38135 Market Sq, Zephyrhills, FL
Registry record
- Primary taxonomy
- 363LA2100X
363LA2100X
- Also registered as
- 363LA2100X
- Licence states on file
- FL, OR
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-07-21
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