Individual
SHANNON TABBAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
23839 SW DANIEL RD, BEAVERTON, OR 97078-5400
(503) 217-2035
Mailing address
23839 SW DANIEL RD, BEAVERTON, OR 97078-5400
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
04/07/2021
Last updated
04/07/2021
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