SHANNON WONG


Address: 449 Forest Ave, Portland, ME 04101-2029
Phone: 2073294386

SHANNON WONG (NPI# 1790164648) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1790164648
Entity Type Individual
Full Name SHANNON WONG
Credential LMT
Practice Address 449 Forest Ave
Portland
ME 04101-2029
Mailing Address 59 Saint George St
Portland
ME 04103-4019
Practice Telephone 2073294386
Mailing Telephone 2073294386
Enumeration Date 2015-05-26
Last Update Date 2015-05-26
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 171W00000X Contractor MT4634 ME Other Service Providers

Other Providers SHANNON WONG

NPI Name Taxonomy Address Enumeration
1659347938 Shannon L Wong Pharmacist 9300 Valley Childrens Place, Charlie Mitchell Childrens Clinic Mb01, Madera, CA 93636-3227 2006-02-27
1497753040 Shannon M Wong Optometrist 11901 Jollyville Rd, Austin, TX 78759-2303 2005-07-08
1144710211 Shannon Nathan Wong Registered Nurse 1131 San Felipe Rd, Hollister, CA 95023-2800 2018-05-15
1467606590 Shannon L. Wong Plastic Surgery Emile 42nd St, Omaha, NE 68198-0001 2008-11-17
1316107816 Shannon Lee Wong Counselor 15 Prospect St, Nashua, NH 03060-3923 2008-06-10

Office Location

Street Address 449 FOREST AVE
City PORTLAND
State ME
Zip Code 04101-2029

Providers in the same location

NPI Name Taxonomy Address Enumeration
1114912664 Kathleen A Norris Chiropractor 449 Forest Ave, 2nd Floor, Portland, ME 04101-2029 2005-09-12
1144829953 Hannah Freeman Smith Naturopath 449 Forest Ave, Portland, ME 04101-2029 2020-10-22
1740751627 Frances Anna Mae Baconguis Dysinger Pharmacist 449 Forest Ave, Portland, ME 04101-2029 2018-12-17
1770055659 Sarah Elizabeth Sweatt Pharmacist 449 Forest Ave, Portland, ME 04101-2029 2018-12-17
1225577521 Natalie Harmon Veilleux Counselor 449 Forest Ave, 2nd Floor, Portland, ME 04101-2029 2017-02-20
1679945810 Marybeth Riley Counselor 449 Forest Ave, Suite #14, Portland, ME 04101-2029 2015-10-27
1083944821 Atlantic Chiropractic Limited Liability Company Chiropractor 449 Forest Ave, 2nd Floor, Portland, ME 04101-2029 2009-12-29
1588826713 Guy H Mcchesney Contractor 449 Forest Ave, Suite 6, Portland, ME 04101-2029 2008-06-29
1235331885 Robin D Henry-pearl Specialist 449 Forest Ave, 2nd Floor, Portland, ME 04101-2029 2007-06-05
1992888085 Debra V Walton Registered Nurse 449 Forest Ave, 2nd Floor, Portland, ME 04101 2006-10-23
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1306450655 Jocylin Egan Nurse Practitioner 442 Congress Street, 2nd Floor, Portland, ME 04101 2020-09-03
1255963559 Portcity Home Healthcare LLC In Home Supportive Care 525 Forest Avenue, Suite 8, Portland, ME 04101 2020-02-05
1578101929 Mohamed Hassan Mohamed Student in an Organized Health Care Education/Training Program 75 Lancaster St Ste 218a, Portland, ME 04101 2019-12-17
1841855301 Portland Opioid Health Home Counselor 48 Free St., Mezzanine Level, Portland, ME 04101 2019-05-09
1093379224 Alexandra Strawbridge Maurer Acupuncturist 50 A Cove Street, Portland, ME 04101 2019-04-23
1245719541 Scott J Whited Nurse Practitioner 216 Vaughan St., Mcgeachy Hall, Portland, ME 04101 2018-08-08
1144733064 Alixandria Elaine Marie Winchell Massage Therapist One City Center, Portland, ME 04101 2017-11-14
1417473638 Rachel S Schwaner Occupational Therapist 78 Danforth Street, Apartment 6, Portland, ME 04101 2017-08-18
1023538154 Derina Boothroyd Audiologist-Hearing Aid Fitter 985 Forest Ave., Portland, ME 04101 2017-06-20
1881123297 Mark Mccullough Social Worker 57 Exchange Street, Suite 403, Portland, ME 04101 2017-06-08
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Taxonomy Information

Taxonomy Code 171W00000X
Grouping Other Service Providers
Classification Contractor

Taxonomy Definition

A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering).
Notes: Source: Websters New World Dictionary of the American Language, Second College Edition, William Collins + World Publishing Co., Inc., New York: 1974, p. 308

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1982142360 Brooke Marie Pascoe Contractor 6442 Ne 38th Ave, Portland, OR 97211-7812 2017-02-06
1578000956 Aric Naber Contractor 4223 Se 74th Ave, Portland, OR 97206-3415 2017-01-24
1376099093 Anna Christine Leclerc Contractor 2024 Se Clinton Street, Zenana Spa and Wellness Center, Portland, OR 97202 2016-09-01
1366898421 Nadia Greene Contractor 3836 Se Yamhill St, Portland, OR 97214-4355 2016-05-09
1528438132 Kristine Okamoto Contractor 3940 Se Brooklyn St, Portland, OR 97202-1627 2015-09-25
1427465079 Jennifer Marie Hessick Contractor 7942 Se 141st Ave, Portland, OR 97236-5450 2014-07-15
1902228091 Tamara Wilson Contractor 1813 Dolphin Dr, Portland, TX 78374-2721 2014-01-09
1760810030 Amy Rose Boren Contractor 8385 Sw Carmel Ct, Portland, OR 97223-6951 2013-10-24
1811243884 Sharon L. Morrison-wolley Contractor 2714 Ne 38th Ave, Portland, OR 97212-2850 2012-07-27
1629337555 Jesse Luckett Contractor 52 Ne Fremont St, Portland, OR 97212-2027 2012-05-12
Find all providers in PORTLAND

Competitor

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City PORTLAND
Zip Code 04101

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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