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Organization

TRICARE INSURANCE

Active
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Organization

TRICARE INSURANCE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. SHANNON RENEA GANDER LMFT (OWNER/PRIVATE PRACTICE)
(503) 419-8357
Entity
Organization

Contact information

Practice address
1300 JOHN ADAMS ST STE 104, OREGON CITY, OR 97045-1695
(503) 419-8357
(503) 925-3528
Mailing address
1300 JOHN ADAMS ST STE 104, OREGON CITY, OR 97045-1695
(503) 419-8357
(503) 925-3528

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
NULL
106H00000X
Marriage & Family Therapist
Primary
—
—

Other

Enumeration date
08/24/2026
Last updated
08/24/2026
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