Shane Dalton Wight, QMHA
Shane Dalton Wight, QMHA is an Adult Companion in Portland, Oregon. Registered with an NPI since 2019.
- In the registry since
- 2019
Practice location Address checks out
847 NE 19th AvePortland, OR 97232-2684
Phone: (503) 238-0769
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Adult Companion (primary) | Taxonomy 372600000X |
|---|
Record details
| NPI number | 1649829714 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | QMHA |
| Sole proprietor | No |
| NPI enumerated | September 10, 2019 |
| Last updated in NPPES | September 10, 2019 |
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