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1962886523
TIMOTHY CARL SHEPPARD
PORTLAND, OR
NPI
1962886523
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2015-07-14
Last Update Date
2016-08-01
Business Address
-- TIMOTHY CARL SHEPPARD
11035 NE SANDY BLVD
PORTLAND, OR 97220-2553
Phone number: 503-258-4200
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Mailing Address
-- TIMOTHY CARL SHEPPARD
11035 NE SANDY BOULEVARD
PORTLAND, OR 97220
Phone number: 503-258-4200
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