NPI 1194333906

Shannon Mahoney

Practitioner Physical Therapy Assistant Clackamas, OR

Practice location

Address: 8810 SE Sunnybrook Blvd STE 100, Clackamas, OR 97015-6805
Phone: (503) 607-2226

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence 9858 (OR)

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Registry record

NPI: 1194333906
Entity type: Individual
Sex (as registered): Female
NPI issued: 17 Jul 2020
Record last updated: 17 Jul 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.