Individual
DR. JULIE A SHAFER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
3407 S CORBETT AVE, PORTLAND, OR 97239-4621
(503) 757-3863
Mailing address
3860 SE NAEF RD # 68477, PORTLAND, OR 97267-5623
(503) 757-3863
(503) 345-6829
Taxonomy
Speciality
Code
Description
License number
State
103TH0100X
Health Service Psychologist
Primary
1663
OR
Other
Enumeration date
08/14/2006
Last updated
05/06/2022
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