Individual
SHANNON CAREY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, GH219, PORTLAND, OR 97239-3011
(503) 494-3633
Mailing address
1233 EDGEWATER ST NW, GH219, SALEM, OR 97304-4049
(503) 378-7526
(503) 315-0721
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA179831
OR
Other
Enumeration date
05/22/2015
Last updated
11/27/2023
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