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1578215992
TRISTAN SHANNON
PORTLAND, OR
NPI
1578215992
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2022-01-26
Last Update Date
2022-01-26
Business Address
TRISTAN SHANNON
3036 NE MLK BLVD
PORTLAND, OR 97212-3053
Phone number: 503-283-3763
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Mailing Address
TRISTAN SHANNON
PO BOX 8459
PORTLAND, OR 97207-8459
Phone number:
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