NIKOLAY SHALASHOV

SALEM, OR
NPI1134585540
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy172V00000X Community Health Worker
(Licence: OR  1539128)
Enumeration Date2016-01-14
Last Update Date2016-01-14
Business Address
-- NIKOLAY SHALASHOV
4485 GREAT PLAINS DR NE
SALEM, OR 97305-3681
Phone number: 503-428-2459
Mailing Address
-- NIKOLAY SHALASHOV
4485 GREAT PLAINS DR NE
SALEM, OR 97305
Phone number: 503-428-2459
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