SearchOregon374J00000X

Ketzia Shafer, THW

NPI 1811767999 · on the registry since 2024 · sole proprietor

Practice

Address
4124 Round Lake Rd
Klamath Falls, OR 97601
Phone
(541) 591-2818

Registry record

Primary taxonomy
374J00000X
374J00000X
Licence states on file
OR
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-01-08

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