Individual
JUSTIN NEAL SCHUMACHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PRC, PWS, CRM, PSS
Contact information
Practice address
173 NE 102ND AVE, PORTLAND, OR 97220-4169
(503) 906-9995
Mailing address
11935 SE 34TH AVE, MILWAUKIE, OR 97222-6819
(260) 446-1031
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
19-PRC-16
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
19-PRC-16
MHACBO
OR
01
—
THW000003153
OREGON HEALTH AUTHORITY
OR
Enumeration date
03/05/2020
Last updated
03/05/2020
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