Individual
SHANNON LEVIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPO
Contact information
Practice address
441 UNION ST NE, SALEM, OR 97301-2458
(503) 339-7096
Mailing address
441 UNION ST NE, SALEM, OR 97301-2458
(503) 339-7096
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
06/09/2014
Last updated
08/29/2014
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