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1548658321
WILLIE SHAFFER
PORTLAND, OR
NPI
1548658321
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR 14-03-19)
Enumeration Date
2015-01-02
Last Update Date
2015-01-02
Business Address
-- WILLIE SHAFFER CADC I,
100 SE 160TH AVE APT 107
PORTLAND, OR 97233-3569
Phone number: 503-839-4455
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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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