Jaxon Millice Shaffer, MA

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Practice address

3800 SW Cedar Hills Blvd Ste 152H
Beaverton, OR 97005-4758

Phone

(619) 677-0529

NPI assigned

Sep 10, 2019

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1568073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568073600000",
    "number": "1689223752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7555 SW HALL BLVD APT 56",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970085769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 SW CEDAR HILLS BLVD STE 152H",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970054758",
            "telephone_number": "619-677-0529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAFFER",
        "first_name": "JAXON",
        "middle_name": "MILLICE",
        "credential": "MA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-10",
        "last_updated": "2019-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Serve All Oregon Medical Transportation, LLP
• Kelly Kathleen Sestero, LPC, LMHC, NCC
• Lori Michelle Severson, LPC
• Emma Michelle Seynaeve, MSW
• Shad a. McLagan DC PC
• Kelli Shaffer, RDH
• Kristen G Shaffer, FNP-C
• Shalom Health Hub LLC
• Anne Balding Shankar, LCSW
• Joseph Shannon, DPT

• Marriage & Family Therapist in Beaverton, OR
• Providers in Beaverton, OR by specialty
• Marriage & Family Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.