Individual
MRS. SHANNON RENEA GANDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT-INTERN
Contact information
Practice address
1300 JOHN ADAMS ST, OREGON CITY, OR 97045-1695
(503) 606-8615
Mailing address
22932 SW WASHINGTON ST, SHERWOOD, OR 97140-7093
(503) 419-8357
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
R5780
OR
Other
Enumeration date
02/11/2020
Last updated
02/11/2020
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