Thorum, Shannon

Thorum, Shannon is an individual health care provider with primary practice located at 3181 Sw Sam Jackson Park Rd , Portland OR 97239-3011. She recently has only one registered license in Dietary & Nutritional Service Providers / Nutrition, Pediatric, which is considered as her primary health care specialty. Thorum, Shannon can be contacted via phone (503) 418-5257.

Contact Information

Primary practice address
3181 Sw Sam Jackson Park Rd Portland OR 97239-3011
Phone: (503) 418-5257
Fax: (503) 494-3769
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Nutrition, Pediatric 133VN1004X LDD10144588 Oregon

Profile Details

NPI number 1023366770
LBN Legal business name Thorum, Shannon
Credentials MS, RD, LD
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 28th, 2012
Last updated Aug 28th, 2012 - about 12 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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