SHANNON C KENNEDY

PORTLAND, OR
NPI1477849875
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2011-06-23
Last Update Date2011-06-23
Business Address
-- SHANNON C KENNEDY
1312 SW WASHINGTON ST
PORTLAND, OR 97205-2327
Phone number: 503-535-1150
Mailing Address
-- SHANNON C KENNEDY
PO BOX 3007
PORTLAND, OR 97208-3007
Phone number:
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