Individual
SHANNON MICHELLE ROBINSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2600 SE BELMONT ST, PORTLAND, OR 97214-2916
(503) 239-5738
Mailing address
1030 NE 102ND AVE APT 25, PORTLAND, OR 97220-3975
(503) 957-4494
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
200830392LPN
OR
Other
Enumeration date
11/15/2016
Last updated
11/15/2016
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