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1467941831
SHANNON MADORE
PORTLAND, OR
NPI
1467941831
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Other Name
SHANNON M NUGENT
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: OR 2896)
Enumeration Date
2018-05-01
Last Update Date
2018-05-01
Business Address
SHANNON MADORE PhD
3710 SW US VETERANS HOSPITAL RD # R&D66
PORTLAND, OR 97239-2964
Phone number: 503-220-8262
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Mailing Address
SHANNON MADORE PhD
160 SW 90TH AVE
PORTLAND, OR 97225-6810
Phone number: 970-389-5604
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