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Individual

JOSHUA SHAFER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PMHNP

Contact information

Practice address
770 E 11TH AVE, EUGENE, OR 97401-3746
(458) 205-7001
Mailing address
3415 SE POWELL BLVD, PORTLAND, OR 97202-3371
(503) 234-9591

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
163WP0000X
Pain Management Registered Nurse
201142212RN
OR
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
201142212RN
OR
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
10042402
OR

Other

Enumeration date
02/06/2012
Last updated
04/10/2025
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