Individual
SHANNON ROBERTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
1413 CHARNELTON ST, EUGENE, OR 97401-3906
(541) 762-1755
Mailing address
818 NW MARSHALL ST, PORTLAND, OR 97209-3295
(503) 719-5335
(503) 719-5334
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4106
OR
Other
Enumeration date
04/28/2011
Last updated
11/28/2016
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