Individual
SHANNON ALLISON KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
8329 SW BEAVERTON HILLSDALE HWY BLDG 2, PORTLAND, OR 97225-2215
(503) 414-5172
Mailing address
380 SW 194TH CT, BEAVERTON, OR 97006-1942
(203) 907-6869
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
PH60671456
WA
183500000X
Pharmacist
Primary
RPH-0014927
OR
Other
Enumeration date
05/15/2016
Last updated
09/27/2023
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