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Individual

DR. PATRICIA SHANNON HOPSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DO

Contact information

Practice address
3680 NW SAMARITAN DR, CORVALLIS, OR 97330
(541) 754-1260
Mailing address
444 NW ELKS DR, CORVALLIS, OR 97330-3745
(541) 754-1150

Taxonomy

Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
200400880
NC
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
DO191217
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
006013
SC
05
500764470
OR
05
8913670
NC
Enumeration date
09/27/2005
Last updated
05/10/2021
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