Individual
MR. DAVID H SHULTIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
1132 SW 13TH AVE, PORTLAND, OR 97205-1703
(503) 535-3800
Mailing address
1132 SW 13TH AVE, PORTLAND, OR 97205-1703
(503) 535-3800
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
C3520
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500181599
—
OR
Enumeration date
08/27/2010
Last updated
10/07/2015
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