NPI 1174146948
Shelly R Carlson, QMHA
Practice location
- Address
- 3723 Fairview Industrial Dr SE STE 170, Salem, OR 97302-1174
- Phone
- (503) 371-1970
- Fax
- (503) 371-0192
Registered specialties
Rehabilitation Practitioner
Primary
Registry record
- NPI
- 1174146948
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 27 May 2020
- Record last updated
- 27 May 2020
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.