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Shannon Lee

Student in an Organized Health Care Education/Training Program in Corvallis, OR. Individual provider (NPI-1).

NPI number1578747481
StatusActive
Last updated in NPPESDec 27, 2007

Details

NPI
1578747481
Entity type
Individual (NPI-1)
Name
Shannon Lee
Sex
Female
Sole proprietor
No
Enumeration date
Dec 27, 2007
Last updated
Dec 27, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
390200000X Student in an Organized Health Care Education/Training Program–ORYes

Practice location

4455 Ne Highway 20
Corvallis, OR 97330-9695

Phone 541-757-1852

Mailing address

2587 Nw Maser Dr
Corvallis, OR 97330-3237

Phone 541-752-0391

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