MR. TERRANCE AVERY SHEAFFER (NPI# 1255620670) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255620670 |
| Entity Type | Individual |
| Full Name | MR. TERRANCE AVERY SHEAFFER |
| Credential | RN |
| Practice Address |
2035 Davcor St Se Salem OR 97302-1595 |
| Practice Telephone | 5035885358 |
| Practice Fax Number | 5033612688 |
| Mailing Telephone | 5035885358 |
| Mailing Fax Number | 5033612688 |
| Enumeration Date | 2011-04-06 |
| Last Update Date | 2011-04-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WA0400X |
Registered Nurse Specialization: Addiction (Substance Use Disorder) |
RN09000389 | OR | Nursing Service Providers |
| Street Address |
2035 DAVCOR ST SE |
| City | SALEM |
| State | OR |
| Zip Code | 97302-1595 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619031077 | Vicki Jean Tournay | Counselor | 2035 Davcor St Se, Salem, OR 97302-1595 | 2006-12-20 |
| 1295234748 | Richard Narvaez | Counselor | 2035 Davcor St Se, Salem, OR 97302-1595 | 2018-02-09 |
| 1215443700 | Pamela Jones | Counselor | 2035 Davcor St Se, Salem, OR 97302-1595 | 2017-12-19 |
| 1366961245 | David Arley Mintken | Counselor | 2035 Davcor St Se, Salem, OR 97302-1595 | 2017-09-12 |
| 1902324486 | Krystal Gail Roloff | Counselor | 2035 Davcor St Se, Salem, OR 97302-1595 | 2017-09-05 |
| 1811436587 | Ashley Marie Anastasio | Licensed Practical Nurse | 2035 Davcor St Se, Salem, OR 97302-1595 | 2017-02-15 |
| 1811447808 | Alexandria Mary Kolody | Licensed Practical Nurse | 2035 Davcor St Se, Salem, OR 97302-1595 | 2016-10-13 |
| 1720456171 | Charles Edward Johnson | Counselor | 2035 Davcor St Se, Salem, OR 97302-1595 | 2015-09-02 |
| 1457747578 | Mary Courser | Registered Nurse | 2035 Davcor St Se, Salem, OR 97302-1595 | 2015-04-15 |
| 1073917316 | Anthony Sparzo | Counselor | 2035 Davcor St Se, Salem, OR 97302 | 2014-10-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952954679 | Eric Anthony Bohm | Pharmacist | 2757 22nd St. Se, Salem, OR 97302 | 2019-07-22 |
| 1598223737 | Michael Robert Martini | Counselor | 960 Liberty Rd Se Suite 120, Salem, OR 97302 | 2019-03-06 |
| 1659857480 | Avalina Pharmacy Inc | Pharmacy | 3507 Commercial St Se, Salem, OR 97302 | 2018-07-16 |
| 1649762733 | Joseph Bochsler | Physical Therapist | 3220 Liberty Rd. S., Salem, OR 97302 | 2018-06-04 |
| 1922533652 | Brianne Elizabeth Sischo | Licensed Practical Nurse | 3871 Fairview Industrial Dr. Se Ste, 150, Salem, OR 97302 | 2017-05-01 |
| 1851825566 | Modern Nose Clinic LLC | Otolaryngology | 340 Vista Ave Se, Ste 100, Salem, OR 97302 | 2017-04-19 |
| 1720529803 | Nicholas Forsberg | Massage Therapist | 126 Mize Rd S, Salem, OR 97302 | 2017-03-09 |
| 1437691078 | Kimo Mahi | Specialist/Technologist, Other | 2373 Kuebler Rd. S, Salem, OR 97302 | 2016-11-14 |
| 1588113278 | New Life Family Medicine LLC | Clinic/Center | 842 Commercial Street Ne, Salem, OR 97302 | 2016-09-23 |
| 1073060117 | Susan Morag Robnett | Counselor | 912 Fir Street South, Salem, OR 97302 | 2016-09-07 |
| Find all providers in zip 97302 | ||||
| Taxonomy Code | 163WA0400X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588213177 | Natalie Stone | Registered Nurse | 2045 Siverton Rd Ne, Salem, OR 97301 | 2019-09-06 |
| 1982184008 | Debra Faye Crabtree | Registered Nurse | 2045 Silverton Rd Ne, Salem, OR 97301-0100 | 2018-08-17 |
| 1841610516 | Jacqueline Niemeyer | Registered Nurse | 2035 Davcor St Se, Salem, OR 97302-1595 | 2014-04-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104458652 | Jorge I Deluna | Registered Nurse | 944 68th St, Springfield, OR 97478-2108 | 2020-02-12 |
| 1710266226 | Anne Brown | Registered Nurse | 2165 Sw Main St, Portland, OR 97205-1123 | 2011-08-15 |
| 1942508726 | Judy Christine Hough | Registered Nurse | 1316 Sw Washington St, Portland, OR 97205-2327 | 2011-03-03 |
| 1114013919 | Sharon Kay Schmidt | Registered Nurse | 1181 Sw Ramsey Ave, Grants Pass, OR 97527 | 2006-10-05 |
| 1639791999 | Todd Yates | Registered Nurse | 1312 Sw Washington St, Portland, OR 97205-2327 | 2020-05-10 |
| 1780210914 | Carrie Tierney | Registered Nurse | 324 Nw Davis St, Portland, OR 97209-3925 | 2020-03-19 |
| 1366076333 | Brittany L Jones | Registered Nurse | 777 Murphy Rd, Medford, OR 97504-8425 | 2020-02-27 |
| 1841820735 | Adrian Herrera Gonzalez | Registered Nurse | 1312 Sw Washington St, Portland, OR 97205-2327 | 2020-01-21 |
| 1295375129 | Angeline Maria Huserik Cowles | Registered Nurse | 58646 Mcnulty Way, Saint Helens, OR 97051-6210 | 2020-01-08 |
| 1982258075 | Ashley Marie Cramer | Registered Nurse | 1312 Sw Washington St, Portland, OR 97205-2327 | 2019-07-28 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MR. TERRANCE AVERY SHEAFFER.
| 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.