Individual
SHANNON STEELE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1748 NW FAIRVIEW DR, GRESHAM, OR 97030-3842
(503) 492-3910
Mailing address
3081 NE RENE AVE, GRESHAM, OR 97030-3244
(503) 807-6489
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
19829
OR
Other
Enumeration date
10/29/2014
Last updated
10/29/2014
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