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1245656628
SHANNON CHAMPAGNE
PORTLAND, OR
NPI
1245656628
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2014-03-10
Last Update Date
2018-10-09
Business Address
SHANNON CHAMPAGNE MSW
847 NE 19TH AVE STE 100
PORTLAND, OR 97232-2684
Phone number: 503-238-0769
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Mailing Address
SHANNON CHAMPAGNE MSW
PO BOX 8459
PORTLAND, OR 97207-8459
Phone number: 503-238-0769
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