SHANE STARK

PORTLAND, OR
NPI1205593191
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225700000X Massage Therapist
(Licence: OR  19432)
Enumeration Date2021-11-26
Last Update Date2021-11-26
Business Address
SHANE STARK Medical Massage LMT
6700 E BURNSIDE ST
PORTLAND, OR 97215-1051
Phone number: 503-627-7243
Mailing Address
SHANE STARK Medical Massage LMT
6700 E BURNSIDE ST
PORTLAND, OR 97215-1051
Phone number: 503-627-7243
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