Individual
HANNAH SHUHOLM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4080 REED RD SE STE 150, SALEM, OR 97302-1335
(503) 581-1732
(503) 581-5638
Mailing address
4080 REED RD SE STE 150, SALEM, OR 97302-1335
(503) 581-1732
(503) 581-5638
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
02/17/2017
Last updated
10/17/2018
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