Individual provider · Type 1 NPI

Shannon Lee

Student in an Organized Health Care Education/Training Program · Corvallis, OR

NPI number 1578747481 Active

Practice location

4455 NE Highway 20
Corvallis, OR 97330-9695

Call (541) 757-1852 Map

Mailing address

2587 NW Maser Dr
Corvallis, OR 97330-3237

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1578747481

Shannon Lee's National Provider Identifier is 1578747481, issued on Dec 27, 2007. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Corvallis, OR. The record was last updated on Dec 27, 2007.