SHADRACK MARVIN SANDVOLD

PORTLAND, OR
NPI1316008931
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy174400000X Specialist
(Licence: OR  5239)
Enumeration Date2006-12-13
Last Update Date2007-07-08
Business Address
-- SHADRACK MARVIN SANDVOLD LMT
1954 SE 182ND AVE
PORTLAND, OR 97233-5602
Phone number: 503-667-8988
Mailing Address
-- SHADRACK MARVIN SANDVOLD LMT
1954 SE 182ND AVE
PORTLAND, OR 97233-5602
Phone number: 503-667-8988
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