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1679792816
SHANELLE DEANN O'DELL
GRESHAM, OR
NPI
1679792816
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: OR PA01195)
Enumeration Date
2007-04-25
Last Update Date
2021-06-21
Business Address
Mrs. SHANELLE DEANN O'DELL PA-C
440 NW DIVISION ST
GRESHAM, OR 97030-5506
Phone number: 503-215-9500
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Mailing Address
Mrs. SHANELLE DEANN O'DELL PA-C
PO BOX 3158
PORTLAND, OR 97208-3158
Phone number:
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