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Individual

ALEX RENEE SHAFFER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
1011 COMMERCIAL ST NE, SALEM, OR 97301-1049
(503) 983-9900
(503) 983-9899
Mailing address
1011 COMMERCIAL ST NE STE 110, SALEM, OR 97301-1036
(503) 983-9900
(503) 983-9899

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
500777629
OR
01
PA196705
STATE LICENSE
OR
Enumeration date
08/28/2018
Last updated
06/05/2026
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