Individual
EMMA MARIE SHAFFER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
1500 3RD AVE, LONGVIEW, WA 98632-3229
(360) 353-9041
Mailing address
4567 WESTSIDE HWY, CASTLE ROCK, WA 98611-9535
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
60113895
WA
Other
Enumeration date
10/29/2017
Last updated
10/29/2017
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