Search › Oregon › 174400000X
Shadrack Sandvold, LMT
NPI 1316008931 · on the registry since 2006 · sole proprietor
Practice
- Address
- 1954 Se 182nd Ave
Portland, OR 97233 - Phone
- (503) 667-8988
- Fax
- (503) 667-8988
- Organisation at this address
- Native American Rehabilitation Assoc Inc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 174400000X
174400000X
- Licence states on file
- OR
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon