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Contact Information

SELINA M SHAFFER, RN
201 DONVEGAN ST
SUMMERVILLE, OR97876-8152
 Phone: 541-534-4023
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Case Management

163WC0400X
Indicates primary specialty

NPI Profile & details for SELINA M SHAFFER · (Female)

NPI # 1114013620
Status Active
Credentials RN (Registered Nurse)
Entity Individual
Enumeration date 10/04/2006
Last updated 07/09/2007 - About 19 years ago
Sole proprietor 1 Yes
Identifiers
  • OR Medicaid 098323
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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