KELLY COREY SHAW

PORTLAND, OR
NPI1205226107
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy171100000X Acupuncturist
(Licence: OR  AC169285)
Enumeration Date2015-01-29
Last Update Date2015-01-29
Business Address
-- KELLY COREY SHAW LAc
6018 SE STARK ST
PORTLAND, OR 97215-1990
Phone number: 503-808-9145
Mailing Address
-- KELLY COREY SHAW LAc
3280 SE MADISON ST
PORTLAND, OR 97214-4249
Phone number: 541-232-4016
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