person
Tristan Shannon
Mental Health Counselor in Portland, Oregon
NPI 1578215992

Tristan Shannon is a Mental Health Counselor based in Portland, OR and is specialized in Mental Health. Tristan Shannon practices in Portland, OR. The NPI Number for Tristan Shannon is 1578215992 and holds a License No. (Oregon).

The current practice location address for Tristan Shannon is 3036 Ne Mlk Blvd, Portland, OR and can be reached out via phone at 503-283-3763.

Location: 3036 Ne Mlk Blvd, Portland, OR, 97207-8459
person
Provider Profile Details
NPI Number
1578215992
Provider Name
Tristan Shannon
Credential
Provider Entity Type
Individual
Gender
Female
Address
3036 Ne Mlk Blvd, Portland, OR, 97207-8459
Phone Number
503-283-3763
Fax Number
Provider Enumeration Date
01/26/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3036 Ne Mlk Blvd
City
State
Zip
97212-3053
Phone Number
503-283-3763
Fax Number
person
Provider Business Mailing Address Details
Address
3036 Ne Mlk Blvd
City
State
Zip
97212-3053
Phone Number
503-283-3763
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
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