Individual
DR. KEITH A SCHULZE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
400 HICKORY ST NW STE 200, ALBANY, OR 97321-1700
(541) 812-5800
Mailing address
PO BOX 1188, CORVALLIS, OR 97339-1188
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
MD00023945
WA
208800000X
Urology Physician
Primary
MD199584
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0264447
STATE L&I
WA
01
—
0264452
STATE L&I
WA
01
—
0264481
STATE L&I
WA
01
—
0291737
STATE L&I
WA
Enumeration date
09/04/2006
Last updated
11/03/2020
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