Individual
ROBERT SHANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
1255 NE 48TH AVE, HILLSBORO, OR 97124-5008
(503) 681-2828
Mailing address
379 SW 203RD AVE, BEAVERTON, OR 97006
(971) 344-8545
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
RPH-0014187
OR
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
RPH-0014187
OR
Other
Enumeration date
12/02/2014
Last updated
01/06/2016
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