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1316469596
SHAWN E SHULTZ
PORTLAND, OR
NPI
1316469596
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2017-07-10
Last Update Date
2023-09-18
Business Address
SHAWN E SHULTZ BSW, CADC I, QMHA
12662 SE STARK ST STE A
PORTLAND, OR 97233-1058
Phone number: 503-546-7677
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Mailing Address
SHAWN E SHULTZ BSW, CADC I, QMHA
12662 SE STARK ST STE A
PORTLAND, OR 97233-1058
Phone number: 503-546-7677
Copy
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