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1912729898
SHAY FOREST WITTEN
PORTLAND, OR
NPI
1912729898
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Entity Type
Individual
Gender
N/A
Sole Proprietor ?
No
Primary Taxonomy
174400000X Specialist
(Licence: OR BAP-E10249501)
Enumeration Date
2024-10-30
Last Update Date
2024-12-15
Business Address
SHAY FOREST WITTEN
2222 NW LOVEJOY ST STE 606
PORTLAND, OR 97210-5104
Phone number: 503-413-5915
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Mailing Address
SHAY FOREST WITTEN
8803 N TYNDALL AVE
PORTLAND, OR 97217-7029
Phone number: 541-805-9282
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