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1083134688
JOSEPH SHANNON
BEAVERTON, OR
NPI
1083134688
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: OR 62366)
Enumeration Date
2017-06-23
Last Update Date
2018-03-17
Business Address
JOSEPH SHANNON DPT
15390 NW CORNELL RD STE 230
BEAVERTON, OR 97006-5627
Phone number: 971-245-6663
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Mailing Address
JOSEPH SHANNON DPT
10121 SE SUNNYSIDE RD STE 208
CLACKAMAS, OR 97015-5750
Phone number: 503-794-0103
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