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Search › Oregon › 175T00000X

Nicole Stuckart

NPI 1316762529 · on the registry since 2024

Practice

Address
4080 Reed Rd Se Ste 150
Salem, OR 97302
Phone
(503) 581-1732
Fax
(503) 363-4607
Organisation at this address
Shangri-La Corporation
Shangri-La Corporation
The Shangri-La Corporation
Inferred from a shared address, not stated in the registry.
Clinicians at this address
37

Registry record

Primary taxonomy
175T00000X
175T00000X
Licence states on file
OR
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-11-21

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon