Schaffer, Judy Marie

Schaffer, Judy Marie is an individual health care provider with primary practice located at 421 Sw Oak St 210, Portland OR 97204-1817. She recently has only one registered license in Emergency Medical Service Providers / Personal Emergency Response Attendant, which is considered as her primary health care specialty. Schaffer, Judy Marie can be contacted via phone (503) 988-3663.

Contact Information

Primary practice address
421 Sw Oak St 210 Portland OR 97204-1817
Phone: (503) 988-3663
Fax: (503) 988-4098
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Emergency Medical Service Providers / Personal Emergency Response Attendant 146D00000X 080046279N1FNPPP Oregon

Profile Details

NPI number 1902818115
LBN Legal business name Schaffer, Judy Marie
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 13th, 2006
Last updated Mar 7th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1902818115 NPPES
Oregon Other 500008420 UNITED HEALTHCARE
Oregon MEDICAID 291674 UNITED HEALTHCARE

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