Individual
HANNAH SHAFFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3876 BEVERLY AVE NE, SALEM, OR 97305-1319
(503) 763-5738
Mailing address
3876 BEVERLY AVE NE, SALEM, OR 97305-1319
(503) 763-5738
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
10174811
OR
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/03/2016
Last updated
02/16/2017
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