Individual
DR. AMY SHULTZ HACKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
9155 SW BARNES RD STE 330, PORTLAND, OR 97225-6630
(503) 772-1174
(503) 765-1445
Mailing address
1840 E RAY RD, CHANDLER, AZ 85225-8720
(855) 397-0197
(800) 272-6512
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
MD24517
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1039860
—
WA
05
—
227005
—
OR
Enumeration date
11/29/2006
Last updated
11/26/2019
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