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1811563356
SHANNON THROCKMORTON
PORTLAND, OR
NPI
1811563356
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2021-06-03
Last Update Date
2024-03-26
Business Address
SHANNON THROCKMORTON M.D.
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239-3098
Phone number: 503-494-8211
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Mailing Address
SHANNON THROCKMORTON M.D.
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239-3098
Phone number: 503-494-8211
Copy
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