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SHANNON GODDARD, PA

PA

Medical Physician Assistant

NPI: 1780961417IndividualAccepts Medicare

Specialties, Licenses & Credentials

Medical Physician AssistantPrimary

Physician Assistant — Medical

Code: 363AM0700X

56072(CA)
Physician Assistant

Physician Assistant

Code: 363A00000X

3347(CO)

CMS Specialties

Education

OTHER

Class of 2011

Contact & Hours

Address
3181 SW SAM JACKSON PARK RD # OP31
PORTLAND, OR 97239

Quick Facts

NPI
1780961417
Entity Type
Individual
Gender
Female
Medicare
Accepted
Specialties
2
Locations
1
Years in Practice
15

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