Individual
SHANNON MARIE STRONACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PEER SUPPORT
Contact information
Practice address
805 SE 151ST AVE, PORTLAND, OR 97233-2916
(971) 217-7040
Mailing address
4101 NE DIVISION ST, GRESHAM, OR 97030-4617
(503) 666-6575
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
OR
Other
Enumeration date
11/05/2019
Last updated
11/05/2019
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