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1306442504
SHANNON P NICHOLS
PORTLAND, OR
NPI
1306442504
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163WG0000X Registered Nurse, General Practice
(Licence: OR 201041810RN)
Enumeration Date
2020-12-11
Last Update Date
2024-07-18
Business Address
SHANNON P NICHOLS RN
4400 NE HALSEY ST
PORTLAND, OR 97213-1545
Phone number: 503-513-1300
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Mailing Address
SHANNON P NICHOLS RN
4400 NE HALSEY ST
PORTLAND, OR 97213-1545
Phone number: 503-513-1300
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