Paul Shayne Hansen

NPI 1023414257 - Adult Companion - 372600000X

NPI Details
NPI 1023414257
Gender Male
Enumeration Date 11/17/2014
Last Updated 11/17/2014
Entity Type Individual
Active Over 2 years ago
Practice Location
9155 SW 55TH AVENUE
PORTLAND OR, 97219, US
Phone (503) 477-4622
Fax
Business Location
PO BOX 8459
PORTLAND OR, 97207-8459, US
Phone (503) 238-0769
Fax
Toxanomy
Taxonomy Code 372600000X
License State
License Number
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According to our database, Mr. Paul Shayne Hansen NPI is 1023414257, taxonomy code is 372600000X Paul Shayne Hansen physically located at 9155 Sw 55th Avenue, Portland OR, 97219. NPI Number Paul Shayne Hansen has the Individual type.

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1023414257 NPI number is provided on an as is basis without warranty of any kind. 1023414257 is maintained by the National Plan & Provider Enumeration System. The contents of Paul Shayne Hansen are for informational purposes only.