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Individual

SHANNON DANETTE TRAMMELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

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

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA195503
OR

Other

Enumeration date
08/14/2019
Last updated
02/12/2025
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