SHANE PATRICK LONG

CLACKAMAS, OR
NPI1275640831
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: OR  L3249)
Enumeration Date2006-08-23
Last Update Date2022-03-06
Business Address
Mr. SHANE PATRICK LONG M.A.
KAISER SUNNYSIDE MEDICAL OFFICE 10180 SE SUNNYSIDE RD
CLACKAMAS, OR 97015-9764
Phone number: 503-571-1995
Mailing Address
Mr. SHANE PATRICK LONG M.A.
10180 SE SUNNYSIDE ROAD
CLACKAMAS, OR 97015-9303
Phone number:
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