TIMOTHY CARL SHEPPARD

PORTLAND, OR
NPI1962886523
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2015-07-14
Last Update Date2016-08-01
Business Address
TIMOTHY CARL SHEPPARD
11035 NE SANDY BLVD
PORTLAND, OR 97220-2553
Phone number: 503-258-4200
Mailing Address
TIMOTHY CARL SHEPPARD
11035 NE SANDY BOULEVARD
PORTLAND, OR 97220
Phone number: 503-258-4200