SHANE ROVIG

PORTLAND, OR
NPI1114470564
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy163W00000X Registered Nurse
(Licence: OR  200643138)
Enumeration Date2016-08-02
Last Update Date2016-08-02
Business Address
-- SHANE ROVIG
4531 SE BELMONT ST STE 100
PORTLAND, OR 97215-1675
Phone number: 503-215-6556
Mailing Address
-- SHANE ROVIG
4531 SE BELMONT ST STE 100
PORTLAND, OR 97215-1675
Phone number: