Individual
MRS. SHANNON DONOVAN ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3303 SW BOND AVE, PORTLAND, OR 97239-4501
(503) 494-7231
Mailing address
3181 SW SAM JACKSON PARK RD # OP32, PORTLAND, OR 97239-3011
(503) 494-7231
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA153231
OR
Other
Enumeration date
09/06/2008
Last updated
02/19/2014
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