NPI 1336381565

Shannon Pernetti, ANALYSTMINISTER

Practitioner Psychoanalyst Portland, OR

Practice location

Address: 407 NE 12th Ave Suite 101, Portland, OR 97232
Phone: (503) 234-1493
Fax: (503) 234-7220

Registered specialties

Psychoanalyst Primary

Behavioral Health & Social Service Providers Taxonomy 102L00000X

Other Psychoanalyst providers in Oregon →

Registry record

NPI: 1336381565
Entity type: Individual
Sex (as registered): Female
NPI issued: 2 Apr 2009
Record last updated: 2 Apr 2009

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.