Individual
DR. SHANNON DERBYSHIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
8802 N HARTMAN ST, PORTLAND, OR 97203-1009
(503) 995-6100
Mailing address
8802 N HARTMAN ST, PORTLAND, OR 97203-1009
(503) 995-6100
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5059
OR
Other
Enumeration date
07/09/2012
Last updated
07/09/2012
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