Provider Demographics
NPI:1134953094
Name:SHOAFF, CHRISTINE (CAE, CE, CE (OR, CA))
Entity type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:
Last Name:SHOAFF
Suffix:
Gender:F
Credentials:CAE, CE, CE (OR, CA)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1315 SE FRANKLIN ST
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97202-2414
Mailing Address - Country:US
Mailing Address - Phone:909-553-6151
Mailing Address - Fax:
Practice Address - Street 1:833 SE MAIN ST STE 106
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97214-3410
Practice Address - Country:US
Practice Address - Phone:971-801-2378
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-31
Last Update Date:2024-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
No156F00000XEye and Vision Services ProvidersTechnician/Technologist
No171W00000XOther Service ProvidersContractor
No247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other
No374700000XNursing Service Related ProvidersTechnician