VIVEK SHANTHARAM

TIGARD, OR
NPI1295345908
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2020-08-06
Last Update Date2020-08-06
Business Address
VIVEK SHANTHARAM
8915 SW CENTER ST
TIGARD, OR 97223-6307
Phone number: 503-726-3690
Mailing Address
VIVEK SHANTHARAM
8915 SW CENTER ST
TIGARD, OR 97223-6307
Phone number: 503-726-3690