Search › Oregon › 101YA0400X
Willie Shaffer, CADC I,
NPI 1548658321 · on the registry since 2015 · sole proprietor
Practice
- Address
- 100 Se 160th Ave Apt 107
Portland, OR 97233 - Phone
- (503) 839-4455
Registry record
- Primary taxonomy
- 101YA0400X
101YA0400X
- Licence states on file
- OR
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2015-01-02
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