Individual
ANGELA SHAFER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
20120 PINEBROOK BLVD, BEND, OR 97702-2537
(541) 389-2508
(541) 389-2973
Mailing address
20120 PINEBROOK BLVD, BEND, OR 97702-2537
(541) 389-2508
(541) 389-2973
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
255037
OR
Other
Enumeration date
02/13/2025
Last updated
02/13/2025
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