DR. JULIE A SHAFER (NPI# 1194738013) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194738013 |
| Entity Type | Individual |
| Full Name | DR. JULIE A SHAFER |
| Credential | PHD |
| Practice Address |
4039 N Mississippi Ave Suite 309 Portland OR 97227-1476 |
| Practice Telephone | 5037573863 |
| Practice Fax Number | 5033456829 |
| Mailing Telephone | 5037573863 |
| Mailing Fax Number | 5033456829 |
| Enumeration Date | 2006-08-14 |
| Last Update Date | 2019-02-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TH0100X |
Psychologist Specialization: Health Service |
1663 | OR | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891315214 | Julie Sue Shafer | Occupational Therapist | 991 W Giles Rd, Muskegon, MI 49445-1329 | 2020-04-26 |
| 1407256845 | Julie Christine Shafer | Occupational Therapist | 244 Papa Pl, Ste 102, Kahului, HI 96732-2988 | 2014-09-03 |
| 1629484282 | Julie Shafer | Social Worker | 1309 Sheldon Rd, Grand Haven, MI 49417-2404 | 2014-07-03 |
| 1235305475 | Julie Shafer | Occupational Therapy Assistant | 17280 W North Ave, Suite 104, Brookfield, WI 53045-4366 | 2008-05-07 |
| Street Address |
4039 N MISSISSIPPI AVE SUITE 309 |
| City | PORTLAND |
| State | OR |
| Zip Code | 97227-1476 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891058772 | Isadora Ann Gouldberg | Massage Therapist | 4039 N Mississippi Ave, Ste 302, Portland, OR 97227-1476 | 2012-06-16 |
| 1841491578 | Noah Lyons Roost | Psychologist | 4039 N Mississippi Ave, Suite 309, Portland, OR 97227-1476 | 2007-05-30 |
| 1093896664 | Mai Roost | Clinical Neuropsychologist | 4039 N Mississippi Ave, Suite 309, Portland, OR 97227-1476 | 2006-10-18 |
| 1548376015 | Robert Eric Socherman | Psychologist | 4039 N Mississippi Ave, Ste 309, Portland, OR 97227-1477 | 2006-08-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508466574 | Jessica Michelle Simonetti | Psychologist | Portland Psychotherapy Clinic, Research and Training Ce, 3700 N Williams Ave, Portland, OR 97227 | 2020-10-29 |
| 1447812268 | Maksim Yefimov | Physician Assistant | 2800 N Vancouver Ave Ste 130, Portland, OR 97227 | 2019-07-01 |
| 1851955975 | Erin Marie Staples | Student in an Organized Health Care Education/Training Program | 2800 N. Vancouver Ave;, Suite 230, Portland, OR 97227 | 2019-04-24 |
| 1922588508 | Melanie Grace Mix | Physician Assistant | 501 N Graham St Ste 420, Portland, OR 97227 | 2018-08-14 |
| 1730615071 | Mehran Giblin | Student in an Organized Health Care Education/Training Program | 2800 N. Vancouver Ave, Suite 230, Legacy Clinic Emanuel, Portland, OR 97227 | 2017-05-05 |
| 1730623687 | Christina Grace Belter | Optometrist | 300 N Graham St Ste 300, Portland, OR 97227 | 2016-12-12 |
| 1407300205 | Jenna Abernathy | Counselor | 3537 N Williams Ave, Portland, OR 97227 | 2016-08-09 |
| 1215390760 | Tanya Marie Woods | Massage Therapist | 3808 N. Williams Ave., Portland, OR 97227 | 2016-04-01 |
| 1033596853 | Eric Allen Martin | Counselor | 2054 N. Vancouver Ave, Portland, OR 97227 | 2015-04-30 |
| 1285040436 | Berk Neurosurgical LLC | Neurological Surgery | 501 N Graham St Ste 500, Portland, OR 97227 | 2014-07-09 |
| Find all providers in zip 97227 | ||||
| Taxonomy Code | 103TH0100X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Health Service |
| A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974). |
| Notes: Source: National Register of Health Service Providers in Psychology website http://www.nationalregister.org/about_NR.html [7/1/2006: modified title, added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346899390 | Florence Namuhoranye | Psychologist | 61 Deering St Apt H, Portland, ME 04101-2263 | 2019-09-11 |
| 1033401674 | Keith Ian Linn | Psychologist | 2525 Nw Lovejoy, Ste. 401, Portland, OR 97210-2865 | 2011-05-13 |
| 1013342740 | Kelly Ann Flood | Psychologist | 3415 Se Powell Blvd, Portland, OR 97202-3371 | 2013-09-12 |
| 1902061526 | Emily E York | Psychologist | 1040 Nw 22nd Ave, Suite 520, Portland, OR 97210-3057 | 2008-07-23 |
| 1831316835 | Ken J. Brinker | Psychologist | 722 Ne 162nd Ave, Portland, OR 97230-5760 | 2007-04-19 |
| 1336211275 | John A Turner | Psychologist | 3710 Us Veterans Hospital Road, Va Medical Center, Portland, OR 97202-9823 | 2006-11-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962953554 | Shari Lynne Malago | Psychologist | 4455 Ne Highway 20, Corvallis, OR 97330-9695 | 2016-10-18 |
| 1942681770 | Constance Newton | Psychologist | 4455 Ne Highway 20, Corvallis, OR 97330-9695 | 2015-06-17 |
| 1588045413 | Kimberly Madden | Psychologist | 4455 Ne Highway 20, Corvallis, OR 97330-9695 | 2015-06-16 |
| 1043587041 | Veronica C Johnstone | Psychologist | 10313 Sw 69th Ave, Tigard, OR 97223-9103 | 2011-11-19 |
| 1811293384 | Jackson County Mental Health | Psychologist | 1005 E Main St, Medford, OR 97504-7448 | 2011-02-01 |
| 1942501705 | Nicole Marie-poupeney Miller | Psychologist | 8495 Crater Lake Hwy, Bldg. 240 Rm 109 -mail Stop 116, White City, OR 97503 | 2010-11-10 |
Please comment or provide details below to improve the information on DR. JULIE A SHAFER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.