Healthcare Provider Details

I. General information

NPI: 1780905927
Provider Name (Legal Business Name): SHAINA SCHAFER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/22/2010
Last Update Date: 04/21/2025
Certification Date: 04/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7927 SE ORIENT DR
GRESHAM OR
97080-8847
US

IV. Provider business mailing address

755 SW CHESTNUT ST
PORTLAND OR
97219-2141
US

V. Phone/Fax

Practice location:
  • Phone: 503-663-0481
  • Fax:
Mailing address:
  • Phone: 509-480-0455
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License NumberCG60174288
License Number StateWA
# 2
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number343108
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: