Amy Shumate
Clinic/Center, Mental Health (Including Community Mental Health Center) in Toledo, OR. Individual provider (NPI-1).
NPI number1467167692
StatusActive
Last updated in NPPESJan 23, 2023
Details
- NPI
- 1467167692
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Amy Shumate
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jan 23, 2023
- Certification date
- Jan 22, 2023
- Last updated
- Jan 23, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | – | – | Yes |
Practice location
321 Se 3rd StToledo, OR 97391-1613
Phone 541-368-6775
Mailing address
Po Box 893Toledo, OR 97391-0893
Phone 541-368-6775
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