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1861814360
SHANNON LYNN MCKENZIE
PORTLAND, OR
NPI
1861814360
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: OR 08941)
Enumeration Date
2014-01-17
Last Update Date
2014-01-17
Business Address
-- SHANNON LYNN MCKENZIE PTA
1300 NE 16TH AVE
PORTLAND, OR 97232
Phone number: 503-288-6671
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Mailing Address
-- SHANNON LYNN MCKENZIE PTA
4560 SE INTERNATIONAL WAY STE. 100
MILWAUKIE, OR 97222
Phone number: 971-206-5200
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