SHANNON HIETSCHOLD

HAPPY VALLEY, OR
NPI1962638049
Former NameSHANNON PIKE
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2251X0800X Physical Therapist, Orthopedic
(Licence: OR  61227)
Enumeration Date2009-06-03
Last Update Date2018-07-31
Business Address
SHANNON HIETSCHOLD DPT
16180 SE SUNNYSIDE RD STE 204
HAPPY VALLEY, OR 97015
Phone number: 503-582-4600
Mailing Address
SHANNON HIETSCHOLD DPT
16180 SE SUNNYSIDE RD STE 204
HAPPY VALLEY, OR 97015-6302
Phone number: 503-582-4600
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