Search › Oregon › 106H00000X
Jacqueline Shannon, LMFT
NPI 1750727483 · on the registry since 2013 · sole proprietor
Practice
- Address
- 313 Ne 79th Ave
Portland, OR 97213 - Phone
- (619) 674-9525
Registry record
- Primary taxonomy
- 106H00000X
106H00000X
- Also registered as
- 101YA0400X
106H00000X
171M00000X - Licence states on file
- OR, CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-05-14
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