IndividualActive
Julie Shafer, PHD
NPI 1194738013 · Health Service Psychologist · Portland, OR
Provider details
- NPI number
- 1194738013
- Entity type
- Individual
- Primary specialty
- Health Service PsychologistBehavioral Health & Social Service Providers
- Credential
- PHD
- Sex
- Female
- Sole proprietor
- Yes
- License
- 1663 (OR)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
3407 S Corbett Ave
Portland, OR 97239-4621
Phone: (503) 757-3863
Approximate (ZIP-level) locationGet directions
Mailing address
3860 Se Naef Rd # 68477
Portland, OR 97267-5623
Registry dates
- Enumerated
- 2006-08-14
- Last updated
- 2022-05-06
- Certified
- 2022-05-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.