Hackett, Amy Shultz

Hackett, Amy Shultz is an individual health care provider with primary practice located at 9155 Sw Barnes Rd Ste 330 , Portland OR 97225-6630. She recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as her primary health care specialty. Hackett, Amy Shultz can be contacted via phone (503) 772-1174.

Contact Information

Primary practice address
9155 Sw Barnes Rd Ste 330 Portland OR 97225-6630
Phone: (503) 772-1174
Fax: (503) 765-1445
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X MD24517 Oregon

Profile Details

NPI number 1851468466
LBN Legal business name Hackett, Amy Shultz
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 29th, 2006
Last updated Nov 26th, 2019 - about 7 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1851468466 NPPES
Oregon MEDICAID 227005
Oregon MEDICAID 1039860

Popular Providers