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1215561733
SHANNON VICTORIA MODJESKI
TIGARD, OR
NPI
1215561733
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Professional Name
SHANNON VICTORIA MODJESKI
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: OR 434200)
Enumeration Date
2020-02-24
Last Update Date
2020-02-24
Business Address
SHANNON VICTORIA MODJESKI MOT, OTR/L
13333 SW 68TH PKWY
TIGARD, OR 97223-9196
Phone number: 503-352-0240
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Mailing Address
SHANNON VICTORIA MODJESKI MOT, OTR/L
2185 NE 106TH AVE APT 3411
HILLSBORO, OR 97124-8291
Phone number: 971-533-4658
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