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Individual

JEREMEY SHULTZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRM

Contact information

Practice address
231 LYON ST SE, ALBANY, OR 97321-2707
(541) 791-3411
Mailing address
1350 SW ELLIS ST, DALLAS, OR 97338-2438

Taxonomy

Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
OR
175T00000X
Peer Specialist
Primary
OR

Other

Enumeration date
05/09/2023
Last updated
05/09/2023
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