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Nathan Paul Shaffer

Adult Companion in Portland, OR. Individual provider (NPI-1).

NPI number1457795445
StatusActive
Last updated in NPPESSep 8, 2014

Details

NPI
1457795445
Entity type
Individual (NPI-1)
Name
Nathan Paul Shaffer
Sex
Male
Sole proprietor
No
Enumeration date
Apr 22, 2013
Last updated
Sep 8, 2014

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
372600000X Adult Companion––Yes

Practice location

3909 Se 70th Ave
Portland, OR 97206-2525

Phone 503-777-2278

Mailing address

Po Box 8459
Portland, OR 97207-8459

Phone 503-238-0769

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