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Individual

MRS. SHANDRA NICOLE SHULTZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CADC-R, CRM, PSS

Contact information

Practice address
3716 NE MLK JR BLVD, PORTLAND, OR 97212-1111
(503) 288-8066
Mailing address
5415 SW WESTGATE DR, PORTLAND, OR 97221-2409
(503) 645-3581

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
T-25-5231
OR

Other

Enumeration date
06/19/2025
Last updated
06/19/2025
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