CHARLES SHARP

PORTLAND, OR
NPI1720404866
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy172M00000X Mechanotherapist
(Licence: OR  17903)
Enumeration Date2014-03-13
Last Update Date2014-03-13
Business Address
-- CHARLES SHARP
3922 SE 49TH AVE
PORTLAND, OR 97206-3018
Phone number: 920-268-8867
Mailing Address
-- CHARLES SHARP
3922 SE 49TH AVE
PORTLAND, OR 97206
Phone number: 920-268-8867
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