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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. SHANNON ODELL, PSYD

Active Sole Proprietor

DR. SHANNON ODELL, PSYD is a Child, Clinical Psychologist healthcare provider located in LAKE OSWEGO, Oregon. NPI 1669758942 is currently active in the NPPES registry. Verify at CMS.

Child, Clinical Psychologist · LAKE OSWEGO, OR

Registration Details

NPI Number
1669758942
Provider Type
Individual
Gender
Female
NPI Issued
Oct 31, 2011 (14.762961656361 yrs)
Last Updated
Feb 6, 2020
Licenses
9442 (MA)
2426 (OR)
Sole Proprietor
Yes

Practice Information

Address
530 1ST ST
LAKE OSWEGO, OR, 970343248
Browse OR providers · Browse ZIP 97034
Phone
5034902143
Primary Specialty
Child, Clinical Psychologist
103TC2200X
Additional Specialty
Child, Clinical Psychologist

Other Child, Clinical Psychologist Providers in LAKE OSWEGO, OR

Name Credential NPI
TABITHA BECKER 1023411485
DR. ERIKA DOTY 1730584558
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.