RUSS SHY

BEND, OR
NPI1336857622
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: OR  A16842)
Enumeration Date2022-11-07
Last Update Date2025-08-19
Business Address
RUSS SHY
760 NW HARRIMAN ST
BEND, OR 97703-2789
Phone number: 231-631-5952
Mailing Address
RUSS SHY
760 NW HARRIMAN ST
BEND, OR 97703-2789
Phone number:
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