Provider Demographics
NPI:1700905585
Name:SCHAFER, JAMEEN MICHELLE (LMP)
Entity Type:Individual
Prefix:MS
First Name:JAMEEN
Middle Name:MICHELLE
Last Name:SCHAFER
Suffix:
Gender:F
Credentials:LMP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3909 47TH ST NW
Mailing Address - Street 2:
Mailing Address - City:GIG HARBOR
Mailing Address - State:WA
Mailing Address - Zip Code:98335-8109
Mailing Address - Country:US
Mailing Address - Phone:360-229-9109
Mailing Address - Fax:
Practice Address - Street 1:18321 E STATE ROUTE 3 # F
Practice Address - Street 2:
Practice Address - City:ALLYN
Practice Address - State:WA
Practice Address - Zip Code:98524-7723
Practice Address - Country:US
Practice Address - Phone:360-275-3703
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-29
Last Update Date:2013-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA00023190174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist