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SHADRACK SANDVOLD, LMT
LMT
Specialist
NPI: 1316008931Individual
Specialties, Licenses & Credentials
SpecialistPrimary
Specialist
Code: 174400000X
5239(OR)
Contact & Hours
- Address
- 1954 SE 182ND AVE
PORTLAND, OR 97233 - Phone
- (503) 667-8988
Quick Facts
- NPI
- 1316008931
- Entity Type
- Individual
- Gender
- Male
- Medicare
- Not confirmed
- Specialties
- 1
- Locations
- 1
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