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Individual

LOUISE M SCHULTZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DO

Contact information

Practice address
700 NE 87TH AVE, VANCOUVER, WA 98664-1913
(360) 882-2778
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
DO176845
OR
207R00000X
Internal Medicine Physician
Primary
OP60778787
WA
390200000X
Student in an Organized Health Care Education/Training Program
PG164145
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2058710
WA
Enumeration date
06/03/2013
Last updated
03/17/2018
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