SHANE KOOKEN-HOVER

TIGARD, OR
NPI1154775799
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225700000X Massage Therapist
(Licence: OR  19795)
Enumeration Date2016-04-20
Last Update Date2016-04-20
Business Address
-- SHANE KOOKEN-HOVER L.M.T.
12700 SW NORTH DAKOTA ST STE 180
TIGARD, OR 97223-0802
Phone number: 503-716-8281
Mailing Address
-- SHANE KOOKEN-HOVER L.M.T.
11795 SW TUALATIN RD #67
TUALATIN, OR 97062-7444
Phone number: 503-422-1865
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