Individual
JAXON MILLICE SHAFFER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
3800 SW CEDAR HILLS BLVD STE 152H, BEAVERTON, OR 97005-4758
(619) 677-0529
Mailing address
7555 SW HALL BLVD APT 56, BEAVERTON, OR 97008-5769
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
09/10/2019
Last updated
09/10/2019
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