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1962234138
SHAWN DILLAVOU
PORTLAND, OR
NPI
1962234138
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2024-08-16
Last Update Date
2024-08-16
Business Address
SHAWN DILLAVOU
1232 NW 23RD AVE
PORTLAND, OR 97210-2906
Phone number: 503-227-3450
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Mailing Address
SHAWN DILLAVOU
PO BOX 8459
PORTLAND, OR 97207-8459
Phone number:
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