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1114470564
SHANE ROVIG
PORTLAND, OR
NPI
1114470564
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: OR 200643138)
Enumeration Date
2016-08-02
Last Update Date
2016-08-02
Business Address
-- SHANE ROVIG
4531 SE BELMONT ST STE 100
PORTLAND, OR 97215-1675
Phone number: 503-215-6556
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Mailing Address
-- SHANE ROVIG
4531 SE BELMONT ST STE 100
PORTLAND, OR 97215-1675
Phone number:
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