Individual
ANDREW SHONK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
163 NE 102ND AVE BLID V, PORTLAND, OR 97220
(503) 257-3327
(503) 257-3374
Mailing address
163 NE 102ND AVE # BLIDV, PORTLAND, OR 97220-4169
(503) 257-3327
(503) 257-3374
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
21837
OR
Other
Enumeration date
07/28/2017
Last updated
07/21/2022
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