Organization
DR. CARLENE SHULTZ, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARLENE SHULTZ (PRESIDENT)
(503) 581-6032
Entity
Organization
Contact information
Practice address
1060 LEFFELLE ST SE, SALEM, OR 97302-2969
(503) 581-6032
Mailing address
1060 LEFFELLE ST SE, SALEM, OR 97302-2969
(503) 581-6032
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1510
OR
Other
Enumeration date
10/05/2016
Last updated
10/05/2016
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