Shaffer, Selina Marie

Shaffer, Selina Marie is an sole proprietor health care provider with primary practice located at 201 Donvegan St , Summerville OR 97876-8152. She recently has only one registered license in Nursing Service Providers / Case Management, which is considered as her primary health care specialty. Shaffer, Selina Marie can be contacted via phone (541) 534-4023.

Contact Information

Primary practice address
201 Donvegan St Summerville OR 97876-8152
Phone: (541) 534-4023
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Case Management 163WC0400X Oregon

Profile Details

NPI number 1114013620
LBN Legal business name Shaffer, Selina Marie
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 4th, 2006
Last updated Jul 9th, 2007 - about 17 years ago

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 1114013620 NPPES
Oregon MEDICAID 098323

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