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1154700219
SHANNON CAREY
PORTLAND, OR
NPI
1154700219
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: OR PA179831)
Enumeration Date
2015-05-22
Last Update Date
2023-11-27
Business Address
SHANNON CAREY
3181 SW SAM JACKSON PARK RD GH219
PORTLAND, OR 97239-3011
Phone number: 503-494-3633
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Mailing Address
SHANNON CAREY
1233 EDGEWATER ST NW GH219
SALEM, OR 97304-4049
Phone number: 503-378-7526
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