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Individual

SHAUNA CHRISTINE HARBISON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
O.D.

Contact information

Practice address
9730 SW WASHINGTON SQUARE RD, TIGARD, OR 97223-4453
(503) 624-0666
Mailing address
1537 NE VILLAGE ST, FAIRVIEW, OR 97024-3825
(977) 244-8734

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2948AT
OR

Other

Enumeration date
03/30/2017
Last updated
12/18/2019
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