SHANNON MARIE STOLL

PORTLAND, OR
NPI1144896879
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363AS0400X Physician Assistant, Surgical
(Licence: OR  PA206024)
Additional Taxonomies363A00000X Physician Assistant
(Licence: OR  PA206024)
Enumeration Date2021-06-02
Last Update Date2024-11-06
Business Address
SHANNON MARIE STOLL PAC
4805 NE GLISAN ST # 6N60
PORTLAND, OR 97213-2933
Phone number: 503-281-0561
Mailing Address
SHANNON MARIE STOLL PAC
541 NE 20TH AVE STE 225
PORTLAND, OR 97232-2895
Phone number: 503-963-2801