PETER SHAPOVAL

MILWAUKIE, OR
NPI1093111437
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
Enumeration Date2014-11-12
Last Update Date2014-11-12
Business Address
-- PETER SHAPOVAL
4545 SE INA AVE APT 9
MILWAUKIE, OR 97267-5918
Phone number: 503-654-5678
Mailing Address
-- PETER SHAPOVAL
3587 HEATHROW WAY
MEDFORD, OR 97504-4004
Phone number: 541-858-8170