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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ETHAN ANDREW SHAFE

Active Sole Proprietor

ETHAN ANDREW SHAFE is a Student (Health Education/Training) healthcare provider located in REDMOND, Oregon. NPI 1760215123 is currently active in the NPPES registry. Verify at CMS.

Student (Health Education/Training) · REDMOND, OR

Registration Details

NPI Number
1760215123
Provider Type
Individual
Gender
Male
NPI Issued
Aug 21, 2024 (2.0260681159268 yrs)
Last Updated
Aug 21, 2024
Sole Proprietor
Yes

Practice Information

Address
852 SW 15TH ST
REDMOND, OR, 977562507
Browse OR providers · Browse ZIP 97756
Phone
9712464522
Primary Specialty
Student (Health Education/Training)
390200000X

Other Student (Health Education/Training) Providers in REDMOND, OR

Name Credential NPI
SARAH N HELLMANN DO 1144514829
DR. MICHAL ALICE MONTANA MD 1831695352
EMMA MORELAND 1326720178
SARAH JANE PORTER 1558146324
BRADLEY TAYLOR CARPENTER QMHP-R 1326844861
HASANI LEONARD DAVENPORT 1649129123
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.