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General NPI Number Information
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NPI Number | 1164772893
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Entity Type | Individual
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Provider Name | KRISTEN G SHAFFER FNP-C
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Gender | Female
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Dates
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Enumeration Date | 09/10/2012
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Last Update Date | 03/02/2026
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Provider Practice Location Address
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Address Line | 16043 SW WAXWING WAY
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City | BEAVERTON
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State | OR
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Zip | 97007-8362
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Country | US
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Telephone | 971-462-8575
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Fax | 503-300-2809
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Provider Business Mailing Address
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Address Line | 5048 SE KNAPP ST
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City | PORTLAND
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State | OR
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Zip | 97206-8342
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Country | US
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Telephone | 415-516-6143
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Fax | 503-300-2809
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 101.0097262
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License Number State | VT
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | AP60711966
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License Number State | WA
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 201402108NP-PP
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License Number State | OR
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