1. Home
  2. Directory
  3. Oregon
  4. Redmond
  5. Student In An Organized Health Care Education Training Program
  6. NPI Profile

ETHAN ANDREW SHAFE
NPI 1760215123
Student in an Organized Health Care Education/Training Program in Redmond, OR

Active since August 21, 2024
852 SW 15TH ST, REDMOND, OR 97756(971) 246-4522 Get Directions Write a Review

NPPES record last updated: August 21, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ethan Andrew Shafe NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ETHAN ANDREW SHAFE (NPI 1760215123) is an individual student in an organized health care education/training program in Redmond, Oregon and active in the NPI registry since August 2024.

NPPES Registry Identity

NPI1760215123
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameETHAN ANDREW SHAFE
Location Address852 SW 15TH STRedmond, OR 97756-2507
Mailing Address1380 Ne Brookstone LoopPrineville, OR 97754-3233 · (971) 246-4522
Phone(971) 246-4522
Sole ProprietorYes
Enumeration DateAugust 21, 2024
NPPES CertifiedAugust 21, 2024
✔ NPI 1760215123 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
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.
852 SW 15TH ST, Redmond, OR 97756
Open in Google Maps ↗

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RANDALL SCOTT KRIEGER LPC, MA, MDIV.
Counselor (Mental Health)
852 SW 15TH ST
REDMOND, OR 97756
Deschutes County (503) 327-4049
SHERYL S RUETTGERS MA
Counselor (Mental Health)
852 SW 15TH ST
REDMOND, OR 97756
Deschutes County (458) 206-1860
JOSEPH A PUENTES IV
Counselor (Mental Health)
852 SW 15TH ST
REDMOND, OR 97756
Deschutes County (541) 699-1525
MARY ALICE BRADSHAW
Counselor (Mental Health)
852 SW 15TH ST
REDMOND, OR 97756
Deschutes County (541) 848-0879
KELSEY LAL
Counselor (Mental Health)
852 SW 15TH ST
REDMOND, OR 97756
Deschutes County (458) 315-2022
CAMEO CHAMBERS
Marriage & Family Therapist
852 SW 15TH ST
REDMOND, OR 97756
Deschutes County (541) 419-0089
KENDALL MARIE JOHNSTON LPC
Counselor (Professional)
852 SW 15TH ST
REDMOND, OR 97756
Deschutes County (541) 604-2737
WATER CUP COUNSELING
Counselor (Mental Health)
852 SW 15TH ST
REDMOND, OR 97756
Deschutes County (541) 527-5802

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ethan Shafe's NPI number?

The NPI number for Ethan Shafe is 1760215123. It was assigned to this individual provider in the NPPES registry on August 21, 2024.

Where is Ethan Shafe located?

Ethan Shafe practices at 852 SW 15th St, Redmond, OR 97756. The listed phone number is (971) 246-4522.

What is Ethan Shafe's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Ethan Shafe was last updated on August 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.