Individual
MR. MATTHEW GOWAN SCHAFFER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
13110 SE SUNNYSIDE RD, SUITE B, CLACKAMAS, OR 97015-8468
(503) 698-5866
Mailing address
13110 SE SUNNYSIDE RD, SUITE B, CLACKAMAS, OR 97015-8468
(503) 698-5866
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
11188
OR
Other
Enumeration date
02/28/2008
Last updated
02/28/2008
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