Individual
SHANNON LEE BUCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3800 S MT VIEW DR SE UNIT 10, ALBANY, OR 97322-6434
(541) 908-0022
Mailing address
3800 S MT VIEW DR SE UNIT 10, ALBANY, OR 97322-6434
(541) 908-0022
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
—
Other
Enumeration date
10/20/2022
Last updated
10/20/2022
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