SHAI JOANN LOVE WALLACE

PORTLAND, OR
NPI1043092521
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy3747P1801X Technician Personal Care Attendant
Enumeration Date2023-10-18
Last Update Date2023-10-18
Business Address
SHAI JOANN LOVE WALLACE
945 NE 165TH AVE
PORTLAND, OR 97230-6148
Phone number: 503-408-8100
Mailing Address
SHAI JOANN LOVE WALLACE
PO BOX 8459
PORTLAND, OR 97207-8459
Phone number:
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