SHORE SHANNON SHORE

PORTLAND, OR
NPI1306126677
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy124Q00000X Dental Hygienist
(Licence: OR  h4776)
Enumeration Date2011-08-18
Last Update Date2011-08-18
Business Address
-- SHORE SHANNON SHORE
3710 SW US VETERANS HOSPITAL RD
PORTLAND, OR 97239-2964
Phone number: 503-220-8262
Mailing Address
-- SHORE SHANNON SHORE
3710 SW US VETERANS HOSPITAL RD
PORTLAND, OR 97239-2964
Phone number:
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