MICHAEL G SHORT

CLACKAMAS, OR
NPI1235670126
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy224L00000X 
(Licence: OR  CPED4280)
Enumeration Date2017-03-13
Last Update Date2017-03-13
Business Address
Mr. MICHAEL G SHORT B.S., C-Ped
10117 SE SUNNYSIDE RD. STE. H
CLACKAMAS, OR 97015
Phone number: 503-305-7254
Mailing Address
Mr. MICHAEL G SHORT B.S., C-Ped
10117 SE SUNNYSIDE RD. STE. H
CLACKAMAS, OR 97015
Phone number: 503-305-7254