Individual
VICTORIA ANN SHULTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2400 HARTMAN LN STE 200, SPRINGFIELD, OR 97477-1122
(541) 334-3350
(541) 343-3459
Mailing address
2400 HARTMAN LN STE 200, SPRINGFIELD, OR 97477-1122
(541) 334-3350
(541) 343-3459
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA169767
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500677698
—
OR
Enumeration date
04/03/2013
Last updated
09/21/2023
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