SHANNON RAY DITTLER

PORTLAND, OR
NPI1255831483
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy163W00000X Registered Nurse
(Licence: OR  200642863RN)
Enumeration Date2018-02-14
Last Update Date2018-02-14
Business Address
Mr. SHANNON RAY DITTLER RN
4232 NE 62ND AVE
PORTLAND, OR 97218-3204
Phone number: 971-275-3186
Mailing Address
Mr. SHANNON RAY DITTLER RN
4232 NE 62ND AVE
PORTLAND, OR 97218-3204
Phone number: 971-275-3186
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