NPI 1023906732
Jonathan Armand Shafe
Practice location
- Address
- 2330 NE Siskiyou St, Portland, OR 97212-2471
- Phone
- (503) 528-0757
- Mailing address
- PO Box 8459, Portland, OR 97207-8459
Registered specialties
Personal Care Attendant
Primary
Registry record
- NPI
- 1023906732
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 24 Jun 2025
- Record last updated
- 24 Jun 2025
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.