Individual
MRS. SHANNON EILEEN CHAWLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LA.C
Contact information
Practice address
3430 SE BELMONT ST # 105, PORTLAND, OR 97214-4247
(503) 232-7362
Mailing address
3430 SE BELMONT ST # 105, PORTLAND, OR 97214-4247
(503) 232-7362
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC00489
OR
Other
Enumeration date
04/16/2007
Last updated
02/25/2021
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