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1740461912
SHANE ROBERT EVANS
PORTLAND, OR
NPI
1740461912
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2007-11-16
Last Update Date
2007-11-16
Business Address
-- SHANE ROBERT EVANS B.S./ QMHA
1500 N.E. IRVING ST. SUITE 250
PORTLAND, OR 97232
Phone number: 503-233-4356
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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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