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Individual

MS. TESS O'NEIL MCSHANE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
10011 SE DIVISION ST, SUITE #305, PORTLAND, OR 97266-1351
(503) 335-5975
(503) 335-5974
Mailing address
3712 SW KELLY AVE, APT 3, PORTLAND, OR 97239-4383
(360) 431-4865

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
08/14/2015
Last updated
08/14/2015
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