Individual
SHANNON JEAN LEMAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
875 OAK ST SE STE 1080, SALEM, OR 97301-3977
(503) 814-1397
Mailing address
PO BOX 391, SALEM, OR 97308-0391
(503) 814-1397
(503) 814-1402
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA190334
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500758208
—
OR
Enumeration date
01/02/2019
Last updated
10/05/2023
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