Individual
SHAYLEE MARIE NANNERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1825 NE GLISAN ST, PORTLAND, OR 97232-2844
(503) 963-7676
(503) 764-9042
Mailing address
PO BOX 8459, PORTLAND, OR 97207-8459
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/28/2022
Last updated
04/28/2022
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