MEDICARE: ALEX RENEE SHAFFER PA-C

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	363A00000X	Physician Assistant

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	PA196705	OTHER	OR	STATE LICENSE
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1740761519
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALEX RENEE SHAFFER PA-C

Provider Business Mailing Address
First Line	:	1011 COMMERCIAL ST NE STE 110
Second Line	:
City	:	SALEM
State	:	OR
Zip	:	97301-1036
Country	:	US
Telephone Number	:	503-983-9900
Fax Number	:	503-983-9899

Provider Business Practice Location Address
First Line	:	1011 COMMERCIAL ST NE
Second Line	:
City	:	SALEM
State	:	OR
Zip	:	97301-1049
Country	:	US
Telephone Number	:	503-983-9900
Fax Number	:	503-983-9899

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

Provider Enumeration Date	:	08/28/2018
Last Update Date	:	06/05/2026

Similar Medicare Providers

1700224516 — MICHELLE DEE PIES D.O.
Practice Location Address:

1011 COMMERCIAL ST NE
SALEM, OR
97301-1049

Practice Phone: 503-983-9900
Practice Fax: 503-983-9899

1942834312 — KIMBERLY ANN EICHLER LPN
Practice Location Address:

1011 COMMERCIAL ST NE
SALEM, OR
97301-1049

Practice Phone: 503-983-9900
Practice Fax: 503-983-9899

1548370463 — DR. LORNE M CROSS MD
Practice Location Address:

1011 COMMERCIAL ST NE
SALEM, OR
97301-1049

Practice Phone: 503-983-9900
Practice Fax: 503-983-9899

1780749754 — MR. GARY LEE PFENNING MSW
Practice Location Address:

1049 OAK ST SE
SALEM, OR
97301-4018

Practice Phone: 503-585-4949
Practice Fax:

1942346598 — MR. ROGER WILLIAM HUMBLE CADC1
Practice Location Address:

1011 COMMERCIAL ST NE
SALEM, OR
97301-1049

Practice Phone: 503-983-9900
Practice Fax: 503-983-9899

1699896456 — MRS. JENNIFER D. WORTH QMHA
Practice Location Address:

1011 COMMERCIAL ST NE STE 101210
SALEM, OR
97301-1049

Practice Phone: 503-983-9900
Practice Fax: 503-963-7711

Directions to “ ALEX RENEE SHAFFER PA-C” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.