Individual
DR. WILLIAM THOMAS SHULTS I
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1040 NW 22ND AVE, SUITE 200, PORTLAND, OR 97210-3057
(503) 413-8032
(503) 413-6937
Mailing address
3827 SW 48TH PL, PORTLAND, OR 97221-2105
(503) 292-8285
(503) 413-6937
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MD07886
OR
Other
Enumeration date
06/09/2006
Last updated
07/08/2007
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