WILLIE SHAFFER

PORTLAND, OR
NPI1548658321
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR  14-03-19)
Enumeration Date2015-01-02
Last Update Date2015-01-02
Business Address
-- WILLIE SHAFFER CADC I,
100 SE 160TH AVE APT 107
PORTLAND, OR 97233-3569
Phone number: 503-839-4455
Mailing Address
-- WILLIE SHAFFER CADC I,
100 SE 160TH AVE APT 107
PORTLAND, OR 97233-3569
Phone number: 503-839-4455
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