Most Relevant Information
Provider Data
| NPI Number: | 1003007915 |
| Provider Name: | SHANNON MARIE BEARD |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 08/06/2007 |
| Last Updated: | 08/06/2007 |
Provider Practice Location
13455 SE OATFIELD RD APT 28
MILWAUKIE
OR
972227058
Practice Location Phone/Fax
| Phone: | 5419515297 |
| Fax: |
Provider Mailing Location
13455 SE OATFIELD RD APT 28
MILWAUKIE
OR
972227058
Provider Mailing Phone/Fax
| Phone: | 5419515297 |
| Fax: |