Healthcare Provider Details

I. General information

NPI: 1720351968
Provider Name (Legal Business Name): MARY SCHALINSKE QMHP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/20/2012
Last Update Date: 05/02/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5240 NE ELAM YOUNG PKWY STE 150
HILLSBORO OR
97124-6210
US

IV. Provider business mailing address

9911 SE MOUNT SCOTT BLVD
PORTLAND OR
97266-6302
US

V. Phone/Fax

Practice location:
  • Phone: 35-846-4549
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: