SHANNON E JACKSON

PORTLAND, OR
NPI1558301168
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: OR  MD25874)
Enumeration Date2006-06-08
Last Update Date2021-03-18
Business Address
SHANNON E JACKSON MD
4805 NE GLISAN ST
PORTLAND, OR 97213-2933
Phone number: 503-215-2393
Mailing Address
SHANNON E JACKSON MD
PO BOX 3158
PORTLAND, OR 97208-3158
Phone number:
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