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SHANNON STOLL, PAC

PAC

Surgical Physician Assistant

NPI: 1144896879IndividualAccepts Medicare

Specialties, Licenses & Credentials

Physician Assistant

Physician Assistant

Code: 363A00000X

PA206024(OR)
Surgical Physician AssistantPrimary

Physician Assistant — Surgical

Code: 363AS0400X

PA206024(OR)

CMS Specialties

PrimaryPHYSICIAN ASSISTANT

Education

OTHER

Class of 2021

Contact & Hours

Address
4805 NE GLISAN ST # 6N60
PORTLAND, OR 97213

Quick Facts

NPI
1144896879
Entity Type
Individual
Gender
Female
Medicare
Accepted
Specialties
2
Locations
1
Years in Practice
5

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