Provider Demographics
NPI:1598056277
Name:SCHAFFER, LAURA R (MS, RDN, LD)
Entity type:Individual
Prefix:
First Name:LAURA
Middle Name:R
Last Name:SCHAFFER
Suffix:
Gender:
Credentials:MS, RDN, LD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2945 WINGATE ST
Mailing Address - Street 2:
Mailing Address - City:EUGENE
Mailing Address - State:OR
Mailing Address - Zip Code:97408-4764
Mailing Address - Country:US
Mailing Address - Phone:541-632-5998
Mailing Address - Fax:844-918-5008
Practice Address - Street 1:317 GOODPASTURE ISLAND RD STE 317E
Practice Address - Street 2:
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97401-9724
Practice Address - Country:US
Practice Address - Phone:541-632-5998
Practice Address - Fax:844-918-5008
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-28
Last Update Date:2025-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR639133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
ORPENDINGMedicare PIN