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1386370781
SHANE JOSEPH GARVIN
PORTLAND, OR
NPI
1386370781
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2022-07-27
Last Update Date
2023-05-31
Business Address
SHANE JOSEPH GARVIN
30 NE MLK BLVD
PORTLAND, OR 97232-2941
Phone number: 503-232-1099
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Mailing Address
SHANE JOSEPH GARVIN
465 SENATE ST NW
SALEM, OR 97304-4644
Phone number: 503-734-7051
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