MEDICARE: HAILIE SCHAFFNER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	376K00000X	Nurse's Aide

General Provider Information

NPI Number	:	1831021153
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HAILIE SCHAFFNER

Provider Business Mailing Address
First Line	:	PO BOX 1847
Second Line	:
City	:	LONGVIEW
State	:	WA
Zip	:	98632-8140
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	720 14TH AVE
Second Line	:
City	:	LONGVIEW
State	:	WA
Zip	:	98632-2315
Country	:	US
Telephone Number	:	360-423-0203
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/01/2026
Last Update Date	:	06/01/2026

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Directions to “ HAILIE SCHAFFNER ” Practice Location

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