SHAINA MARIE SULLIVAN

BEAVERTON, OR
NPI1730644790
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy152W00000X Optometrist
(Licence: OR  4434ATI)
Enumeration Date2019-02-04
Last Update Date2019-07-19
Business Address
SHAINA MARIE SULLIVAN
12370 SW 1ST ST
BEAVERTON, OR 97005-2847
Phone number: 503-644-3614
Mailing Address
SHAINA MARIE SULLIVAN
10095 NW CURTIS ST
NORTH PLAINS, OR 97133-8201
Phone number: 971-227-3630
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