Individual
HOLLIE MAI BURTON SCHULTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12310 NW BIG FIR CIR, PORTLAND, OR 97229-3906
(503) 810-6336
Mailing address
12310 NW BIG FIR CIR, PORTLAND, OR 97229-3906
Taxonomy
Speciality
Code
Description
License number
State
224P00000X
Prosthetist
Primary
CPO04186
OR
Other
Enumeration date
04/13/2023
Last updated
04/13/2023
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