SHANE MICHAEL GRIFFIN

PORTLAND, OR
NPI1467974592
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2017-07-11
Last Update Date2017-07-11
Business Address
SHANE MICHAEL GRIFFIN
2730 SW MOODY AVE
PORTLAND, OR 97201-5042
Phone number: 503-494-8428
Mailing Address
SHANE MICHAEL GRIFFIN
2730 SW MOODY AVE
PORTLAND, OR 97201-5042
Phone number: 503-494-8428
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