Spade, Shelby Mckenzie

Spade, Shelby Mckenzie is an individual health care provider with primary practice located at 22018 S Central Point Rd , Canby OR 97013-8705. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Spade, Shelby Mckenzie can be contacted via phone (503) 221-4531.

Contact Information

Primary practice address
22018 S Central Point Rd Canby OR 97013-8705
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1003586819
LBN Legal business name Spade, Shelby Mckenzie
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 14th, 2021
Last updated Sep 14th, 2021 - about 3 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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