Carlson, Shelly R

Carlson, Shelly R is an sole proprietor health care provider with primary practice located at 3723 Fairview Industrial Dr Se Ste 170 , Salem OR 97302-1174. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner, which is considered as her primary health care specialty. Carlson, Shelly R can be contacted via phone (503) 371-1970.

Contact Information

Primary practice address
3723 Fairview Industrial Dr Se Ste 170 Salem OR 97302-1174
Phone: (503) 371-1970
Fax: (503) 371-0192
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner 225400000X

Profile Details

NPI number 1174146948
LBN Legal business name Carlson, Shelly R
Credentials QMHA
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 27th, 2020
Last updated May 27th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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