Individual
ASHLEY SCHULTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADC I, QMHA
Contact information
Practice address
13541 SE MARKET ST, PORTLAND, OR 97233-1752
(503) 258-9734
Mailing address
PO BOX 8459, PORTLAND, OR 97207-8459
(503) 422-3706
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
T-20-280
OR
171M00000X
Case Manager/Care Coordinator
Primary
21-QMHA-R-1395
OR
Other
Enumeration date
08/17/2020
Last updated
07/29/2021
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