JEFFERY SHANNON

PORTLAND, OR
NPI1265896021
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2016-04-07
Last Update Date2018-05-29
Business Address
JEFFERY SHANNON
15208 SE TIBBETTS ST
PORTLAND, OR 97236
Phone number: 503-760-0959
Mailing Address
JEFFERY SHANNON
3587 HEATHROW WAY
MEDFORD, OR 97504-4004
Phone number: 541-858-8170
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