Dr SHANNON C FIFE DO is a female medical professional, specializing in Obstetrics/gynecology. She graduated in 2002.
PROVIDENCE HEALTH AND SERVICES OREGON
940 ROYAL AVE
UNIT 350
MEDFORD
OR
975046194
Tel: 5417327460
| Npi | 1639282148 |
| Pac Id | 3274539085 |
| Professional Enrollment Id | I20061018000100 |
| Last Name | FIFE |
| First Name | SHANNON |
| Middle Name | C |
| Suffix | |
| Gender | F |
| Credential | DO |
| Medical School Name | OTHER |
| Graduation Year | 2002 |
| Primary Specialty | OBSTETRICS/GYNECOLOGY |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
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| Organization Legal Name | PROVIDENCE HEALTH AND SERVICES OREGON |
| Group Practice Pac Id | 5294623245 |
| Number Of Group Practice Members | 201 |
| Line 1 Street Address | 940 ROYAL AVE |
| Line 2 Street Address | UNIT 350 |
| Marker Of Address Line 2 Suppression | |
| City | MEDFORD |
| State | OR |
| Zip Code | 975046194 |
| Phone Number | 5417327460 |
| Hospital Affiliation Ccn 1 | 380075 |
| Hospital Affiliation Lbn 1 | PROVIDENCE MEDFORD MEDICAL CENTER |
| Hospital Affiliation Ccn 2 | 380061 |
| Hospital Affiliation Lbn 2 | PROVIDENCE PORTLAND MEDICAL CENTER |
| Hospital Affiliation Ccn 3 | |
| Hospital Affiliation Lbn 3 | |
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| Professional Accepts Medicare Assignment | Y |
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