Individual
SHANNON LEIGH ADAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
4475 SW SCHOLLS FERRY RD, #201, PORTLAND, OR 97225-1955
(503) 970-4590
Mailing address
4475 SW SCHOLLS FERRY RD, #201, PORTLAND, OR 97225-1955
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
15696
OR
Other
Enumeration date
04/07/2010
Last updated
04/07/2010
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