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1790273811
SHAYNE MAHEALANI AHWAH
BEAVERTON, OR
NPI
1790273811
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: OR PA187846)
Enumeration Date
2018-04-24
Last Update Date
2021-05-11
Business Address
SHAYNE MAHEALANI AHWAH PAC
15700 SW GREYSTONE CT
BEAVERTON, OR 97006-6011
Phone number: 971-262-9150
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Mailing Address
SHAYNE MAHEALANI AHWAH PAC
15700 SW GREYSTONE CT
BEAVERTON, OR 97006-6011
Phone number: 971-262-9150
Copy
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