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Michael Shaffer, COTA
Student in an Organized Health Care Education/Training Program in Ruston, Washington
NPI 1740654318

Michael Shaffer is a Student in an Organized Health Care Education/Training Program based in Ruston, WA. Michael Shaffer practices in Ruston, WA and has the professional credentials of COTA. The NPI Number for Michael Shaffer is 1740654318 and holds a License No. (Washington).

The current practice location address for Michael Shaffer is 5109 N 49Th St, Ruston, WA and can be reached out via phone at 360-412-4400.

Location: 5109 N 49Th St, Ruston, WA, 98407-3024
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1740654318
Provider Name
Michael Shaffer
Credential
COTA
Provider Entity Type
Individual
Gender
Male
Address
5109 N 49Th St, Ruston, WA, 98407-3024
Phone Number
360-412-4400
Fax Number
Provider Enumeration Date
11/19/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
5109 N 49Th St
City
Ruston
State
Washington
Zip
98407-3024
Phone Number
360-412-4400
Fax Number
person
Provider Business Mailing Address Details
Address
5109 N 49Th St
City
Ruston
State
Washington
Zip
98407-3024
Phone Number
360-412-4400
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
(Washington)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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