Individual
MS. KRISTEN MARIE SCHUCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
5100 S MACADAM AVE STE 350, PORTLAND, OR 97239-3877
(503) 231-7854
(503) 231-8153
Mailing address
627 IPSON DR, MEDFORD, OR 97501-4510
(920) 318-9512
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
C2889
OR
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40983200
—
WI
Enumeration date
01/24/2007
Last updated
10/30/2025
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