person
Debra Anne Shannon, ARNP
Family Nurse Practitioner in Portland, Oregon
NPI 1598517088

Debra Anne Shannon is a Family Nurse Practitioner based in Portland, OR and is specialized in Family. Debra Anne Shannon practices in Portland, OR and has the professional credentials of ARNP. The NPI Number for Debra Anne Shannon is 1598517088 and holds a License No. AP61529272 (Oregon).

The current practice location address for Debra Anne Shannon is 1410 Ne 106Th Ave, Portland, OR and can be reached out via phone at 503-460-0405 and via fax at 503-460-0434.

Location: 1410 Ne 106Th Ave, Portland, OR, 97220-3934
person
Provider Profile Details
NPI Number
1598517088
Provider Name
Debra Anne Shannon
Credential
ARNP
Provider Entity Type
Individual
Gender
Female
Address
1410 Ne 106Th Ave, Portland, OR, 97220-3934
Phone Number
503-460-0405
Fax Number
503-460-0434
Provider Enumeration Date
04/05/2024
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
1410 Ne 106Th Ave
City
State
Zip
97220-3934
Phone Number
503-460-0405
Fax Number
503-460-0434
person
Provider Business Mailing Address Details
Address
1410 Ne 106Th Ave
City
State
Zip
97220-3934
Phone Number
503-460-0405
Fax Number
503-460-0434
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
AP61529272 (Washington)
Definition
Definition to come...
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