Most Relevant Information
Provider Data
| NPI Number: | 1003466723 |
| Provider Name: | ZACHARY WILLIAM SHAFFER |
| Entity Type: | Individual |
| Taxonomy Code: | 101Y00000X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 09/14/2019 |
| Last Updated: | 06/06/2023 |
Provider Practice Location
605 SE CESAR E CHAVEZ BLVD
PORTLAND
OR
972143216
Practice Location Phone/Fax
| Phone: | 5032317480 |
| Fax: |
Provider Mailing Location
605 SE CESAR E CHAVEZ BLVD
PORTLAND
OR
972143216
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |