SHANNON LOFSTROM

PORTLAND, OR
NPI1902318074
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: OR  09003099LPN)
Enumeration Date2017-10-30
Last Update Date2017-10-30
Business Address
SHANNON LOFSTROM
324 NW DAVIS ST
PORTLAND, OR 97209-3925
Phone number: 503-226-2203
Mailing Address
SHANNON LOFSTROM
6628 SW MAYO ST
PORTLAND, OR 97223-1303
Phone number:
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