Individual
SHANNON LYNN HAYTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2788 NW RALEIGH ST, PORTLAND, OR 97210-2457
(971) 230-8668
Mailing address
2788 NW RALEIGH ST, PORTLAND, OR 97210-2457
(971) 230-8668
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
04/08/2024
Last updated
04/08/2024
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