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NPI Code Detail

MEDICARE: JEREMEY SHULTZ CRM

MEDICARE: JEREMEY SHULTZ CRM
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1172V00000XCommunity Health WorkerOR
2175T00000XPeer SpecialistOR

General Provider Information

NPI Number : 1790475234
Entity Type Code : Individual
Provider Name (Legal Business Name) : JEREMEY SHULTZ CRM
Provider Business Mailing Address
First Line : 1350 SW ELLIS ST
Second Line :
City : DALLAS
State : OR
Zip : 97338-2438
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 231 LYON ST SE
Second Line :
City : ALBANY
State : OR
Zip : 97321-2707
Country : US
Telephone Number : 541-791-3411
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/09/2023
Last Update Date : 05/09/2023

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Directions to “ JEREMEY SHULTZ CRM” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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