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1942637947
SAMUEL SHEA
PORTLAND, OR
NPI
1942637947
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
Enumeration Date
2013-10-04
Last Update Date
2013-10-10
Business Address
-- SAMUEL SHEA MS CHP
825 NE 20TH AVE STE 330
PORTLAND, OR 97232-1000
Phone number: 503-290-1916
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Mailing Address
-- SAMUEL SHEA MS CHP
4125 N LONGVIEW AVE
PORTLAND, OR 97217-3354
Phone number: 503-244-4456
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