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NPI Code Detail

MEDICARE: MS. KRISTEN MARIE SCHUCH MA

MEDICARE: MS. KRISTEN MARIE SCHUCH MA
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
1101YM0800XMental Health CounselorC2889OR
21041C0700XClinical Social Worker

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1861547598
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. KRISTEN MARIE SCHUCH MA
Provider Business Mailing Address
First Line : 627 IPSON DR
Second Line :
City : MEDFORD
State : OR
Zip : 97501-4510
Country : US
Telephone Number : 920-318-9512
Fax Number :
Provider Business Practice Location Address
First Line : 5100 S MACADAM AVE STE 350
Second Line :
City : PORTLAND
State : OR
Zip : 97239-3877
Country : US
Telephone Number : 503-231-7854
Fax Number : 503-231-8153
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/24/2007
Last Update Date : 10/30/2025

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