SHANNON LEE SMITH

PORTLAND, OR
NPI1154686814
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: OR  201250082NP)
Enumeration Date2012-07-09
Last Update Date2019-11-26
Business Address
Mr. SHANNON LEE SMITH PMHNP, MPH
619 NW 6TH AVE FL 3
PORTLAND, OR 97209-3964
Phone number: 503-988-5020
Mailing Address
Mr. SHANNON LEE SMITH PMHNP, MPH
619 NW 6TH AVE FL 5
PORTLAND, OR 97209-3964
Phone number:
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