Individual
SHANNON MAHONEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8810 SE SUNNYBROOK BLVD STE 100, CLACKAMAS, OR 97015-6805
(503) 607-2226
Mailing address
8810 SE SUNNYBROOK BLVD STE 100, CLACKAMAS, OR 97015-6805
(503) 607-2226
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
9858
OR
Other
Enumeration date
07/17/2020
Last updated
07/17/2020
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