SearchOregon171M00000X

Shane Garvin

NPI 1386370781 · on the registry since 2022

Practice

Address
30 Ne Mlk Blvd
Portland, OR 97232
Phone
(503) 232-1099
Clinicians at this address
26

Registry record

Primary taxonomy
171M00000X
171M00000X
Licence states on file
OR
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2023-05-31

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