CHARLES PAUL SHAVANAUX

TIGARD, OR
NPI1053988139
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2021-06-08
Last Update Date2021-06-08
Business Address
CHARLES PAUL SHAVANAUX
8915 SW CENTER ST
TIGARD, OR 97223-6307
Phone number: 503-726-3690
Mailing Address
CHARLES PAUL SHAVANAUX
8915 SW CENTER ST
TIGARD, OR 97223-6307
Phone number: 503-726-3690