Individual
CAROL SHAFFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSCW
Contact information
Practice address
1675 SW MARLOW AVE STE 110, PORTLAND, OR 97225-5102
(503) 297-7979
(503) 297-7980
Mailing address
1675 SW MARLOW AVE STE 110, PORTLAND, OR 97225-5102
(503) 297-7979
(503) 297-7980
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L2192
OR
Other
Enumeration date
05/20/2015
Last updated
05/20/2015
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