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1588372155
SHANNON LAREE WEILAND
PORTLAND, OR
NPI
1588372155
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2022-11-11
Last Update Date
2022-11-11
Business Address
SHANNON LAREE WEILAND
9125 SW 55TH AVE
PORTLAND, OR 97219-5018
Phone number: 503-477-4622
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Mailing Address
SHANNON LAREE WEILAND
PO BOX 8459
PORTLAND, OR 97207-8459
Phone number:
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