MICHAEL IRVIN

PORTLAND, OR
NPI1154738391
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy314000000X Skilled Nursing Facility
(Licence: OR  09071)
Enumeration Date2014-07-21
Last Update Date2014-07-21
Business Address
-- MICHAEL IRVIN
6010 SW SHATTUCK RD
PORTLAND, OR 97221-1043
Phone number: 503-246-8811
Mailing Address
-- MICHAEL IRVIN
1425 NE MASON ST
PORTLAND, OR 97211-5143
Phone number: 503-453-4996
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