Individual
ARIEL SCHMIDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3658 WILTSEY ST SE, SALEM, OR 97317-9303
(503) 580-7725
(503) 362-2572
Mailing address
3658 WILTSEY ST SE, SALEM, OR 97317-9303
(503) 580-7725
(503) 362-2572
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
04/02/2019
Last updated
04/02/2019
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