Individual
SHANNON GALLOGLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
385 23RD ST NE, SALEM, OR 97301-4440
(714) 615-6155
Mailing address
385 23RD ST NE, SALEM, OR 97301-4440
(714) 615-6155
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
R8464
OR
Other
Enumeration date
08/18/2023
Last updated
08/18/2023
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