SHANE ROBERT EVANS

PORTLAND, OR
NPI1740461912
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2007-11-16
Last Update Date2007-11-16
Business Address
-- SHANE ROBERT EVANS B.S./ QMHA
1500 N.E. IRVING ST. SUITE 250
PORTLAND, OR 97232
Phone number: 503-233-4356
Mailing Address
-- SHANE ROBERT EVANS B.S./ QMHA
816 MADISON ST. A
OREGON CITY, OR 97045-1929
Phone number: 503-256-3040
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