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1982096525
SHANE MCDONALD
PORTLAND, OR
NPI
1982096525
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: OR 3606ATI)
Enumeration Date
2015-02-18
Last Update Date
2015-06-11
Business Address
SHANE MCDONALD O.D.
3303 SW BOND AVE FL 11
PORTLAND, OR 97239-4501
Phone number: 503-494-3000
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Mailing Address
SHANE MCDONALD O.D.
6985 ROSEN LAKE RD. BOX 13
JAFFRAY, BRITISH COLUMBIA V0B1T0
Phone number: 503-707-0409
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