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1144607060
SHANE SIPE
PORTLAND, OR
NPI
1144607060
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: OR 201402957RN)
Enumeration Date
2015-04-29
Last Update Date
2015-04-29
Business Address
-- SHANE SIPE RN
3415 SE POWELL BLVD
PORTLAND, OR 97202-3371
Phone number: 503-234-9591
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Mailing Address
-- SHANE SIPE RN
3415 SE POWELL BLVD
PORTLAND, OR 97202-3371
Phone number: 503-234-9591
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