Ethan Andrew Shafe

NPI #1760215123 in Redmond, Oregon

Provider Information

NPI Number
1760215123
Entity Type
Individual
Name
Ethan Andrew Shafe
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Student in an Organized Health Care Education/Training Program
Enumeration Date
Aug 21, 2024
Last Updated
Aug 21, 2024

Practice Location

Address
852 SW 15TH ST
State
Oregon
ZIP Code
97756-2507
Phone
(971) 246-4522

Specialties & Taxonomy Codes

Specialty
Student in an Organized Health Care Education/Training Program

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