Individual
DR. SHANNON SCHOBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
2730 SW MOODY AVE, PORTLAND, OR 97201-5042
(503) 494-1352
Mailing address
5870 VERONA ST S, SALEM, OR 97306-4122
(503) 422-7969
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
1577
WY
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
D11222
OR
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
D1291
SD
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
DEN-DEN-LIC-23530
MT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/15/2018
Last updated
10/12/2023
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