Individual
JOHN ERIC SHOFFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
3485 S BOND AVE BLDG 2, PORTLAND, OR 97239-4503
(503) 494-1100
(503) 494-1110
Mailing address
3485 S BOND AVE BLDG 2, PORTLAND, OR 97239-4503
(503) 494-1100
(503) 494-1110
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
50.005323RX
OH
363AM0700X
Medical Physician Assistant
Primary
PA201780
OR
Other
Enumeration date
10/11/2017
Last updated
12/09/2023
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