Individual
SHAWN KRAFT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1601 SW JEFFERSON AVE, CORVALLIS, OR 97331-8656
(541) 737-3424
Mailing address
7025 N OATMAN AVE, PORTLAND, OR 97217-5128
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
01/28/2026
Last updated
01/28/2026
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