Individual
CRAIG SCHULTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
301 NE KNOTT ST, PORTLAND, OR 97212-3014
(503) 253-3910
(503) 253-4297
Mailing address
301 NE KNOTT ST, PORTLAND, OR 97212-3014
(503) 253-3910
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
099007734RN
OR
363L00000X
Nurse Practitioner
Primary
200150081NP
OR
363L00000X
Nurse Practitioner
AP30005962
WA
Other
Enumeration date
06/15/2006
Last updated
05/14/2019
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