Individual
JOHN MICHAEL SHOLAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PMHNP
Contact information
Practice address
1118 OAK ST SE, SALEM, OR 97301-4019
(503) 585-4949
(503) 585-4965
Mailing address
1118 OAK ST SE, SALEM, OR 97301-4019
(504) 585-4949
(503) 585-4965
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
200450071NP
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
200450071NP
BOARD NURSING
OR
Enumeration date
04/07/2006
Last updated
03/07/2023
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