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1770641128
TIMOTHY PATRICK SHANNON
MILWAUKIE, OR
NPI
1770641128
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: OR D6975)
Enumeration Date
2006-12-05
Last Update Date
2007-07-08
Business Address
-- TIMOTHY PATRICK SHANNON D.M.D.
4450 SE JOHNSON CREEK BLVD
MILWAUKIE, OR 97222-9217
Phone number: 503-654-7773
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Mailing Address
-- TIMOTHY PATRICK SHANNON D.M.D.
7524 SE 31ST AVE
PORTLAND, OR 97202-8533
Phone number: 503-771-1106
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