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Matthew Shultz

Counselor, Mental Health in Tigard, OR. Individual provider (NPI-1).

NPI number1124637814
StatusActive
Last updated in NPPESJul 28, 2020

Details

NPI
1124637814
Entity type
Individual (NPI-1)
Name
Matthew Shultz
Sex
Male
Sole proprietor
No
Enumeration date
Jul 28, 2020
Certification date
Jul 28, 2020
Last updated
Jul 28, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YM0800X Counselor, Mental Health––Yes

Practice location

8915 Sw Center St
Tigard, OR 97223-6307

Phone 503-726-3690

Mailing address

8915 Sw Center St
Tigard, OR 97223-6307

Phone 503-726-3690

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