JOHN SHADE

PORTLAND, OR
NPI1558855312
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171100000X Acupuncturist
(Licence: OR  Ac186199)
Enumeration Date2018-06-15
Last Update Date2018-06-15
Business Address
JOHN SHADE
914 SW 11TH AVE
PORTLAND, OR 97205-2001
Phone number: 503-427-9358
Mailing Address
JOHN SHADE
2904 SE BELMONT ST APT 17
PORTLAND, OR 97214-4049
Phone number: 818-934-6062
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