# TRICARE INSURANCE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1427965755
- **Authorized official:** MRS. SHANNON RENEA GANDER LMFT (OWNER/PRIVATE PRACTICE)
- **Authorized official phone:** (503) 419-8357

## Contact information

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

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | — | NULL | Yes |
| 106H00000X | Marriage & Family Therapist | — | — | Yes |

## Other

- **Enumeration date:** 08/24/2026
- **Last updated:** 08/24/2026