Individual
JONATHAN SHAFFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5440 SW WESTGATE DR STE 320, PORTLAND, OR 97221-2447
(503) 847-9211
Mailing address
7414 SE 70TH AVE, PORTLAND, OR 97206-7930
(614) 256-5172
(775) 331-6250
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
5005
OR
225C00000X
Rehabilitation Counselor
—
—
Other
Enumeration date
04/19/2013
Last updated
04/19/2023
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