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DR. JULIE A SHAFER PHD NPI 1194738013


NPI Information

NPI: 1194738013
Provider Name: DR. JULIE A SHAFER, PHD
Classification: Psychologist - 103TH0100X
Entity Type: Individual

Specialization: Health Service

PECOS Registration: Yes

Address:
4039 N MISSISSIPPI AVE
SUITE 309
PORTLAND, OR
ZIP 97227
Phone: (503) 757-3863
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DR. Julie A Shafer, PHD is a health service psychologist in Portland, OR. The provider is a psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974). DR. Julie A Shafer, PHD NPI is 1194738013. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4039 N MISSISSIPPI AVE
SUITE 309
PORTLAND, OR
ZIP 97227-476
Phone: (503) 757-3863
Fax: (503) 345-6829

The NPI 1194738013 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 8/14/2006 and was last updated on 2/7/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1103TH0100XPsychologistHealth Service1663OREGONYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.