Pernetti, Shannon

Pernetti, Shannon is an individual health care provider with primary practice located at 407 Ne 12Th Ave Suite 101, Portland OR 97232. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychoanalyst, which is considered as her primary health care specialty. Pernetti, Shannon can be contacted via phone (503) 234-1493.

Contact Information

Primary practice address
407 Ne 12Th Ave Suite 101 Portland OR 97232
Fax: (503) 234-7220
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychoanalyst 102L00000X

Profile Details

NPI number 1336381565
LBN Legal business name Pernetti, Shannon
Credentials ANALYST, MINISTER
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 2nd, 2009
Last updated Apr 2nd, 2009 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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