Individual
MS. DEIDRE MARIE SCHUETZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
4512 SE WOODSTOCK BLVD, PORTLAND, OR 97206-6274
(503) 777-2776
Mailing address
1800 NW GARFIELD AVE, CORVALLIS, OR 97330-2536
(503) 730-4452
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
12360
OR
Other
Enumeration date
04/23/2007
Last updated
07/08/2007
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