Shadrack Marvin Sandvold, LMT is a specialist in Portland, OR. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. Shadrack Marvin Sandvold, LMT NPI is 1316008931. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
1954 SE 182ND AVE
PORTLAND, OR
ZIP 97233-602
Phone: (503) 667-8988
Fax: (503) 667-8988
The enumeration date for this NPI number is 12/13/2006 and was last updated on 7/8/2007.