Individual
SHANNAN MARIE O'DONNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CFY-SLP
Contact information
Practice address
1250 E BURNSIDE ST, 319, PORTLAND, OR 97214-2267
(574) 274-8455
Mailing address
1250 E BURNSIDE, 319, PORTLAND, OR 97214
(574) 274-8455
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
15349
OR
Other
Enumeration date
10/03/2014
Last updated
10/03/2014
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