Amy Shumate
Individual provider Active NPI Mental Health Clinic/Center (Including Community Mental Health Center) · Toledo, OR
NPI 1467167692 · NPPES record last updated Jan 23, 2023
Key facts
- NPI
- 1467167692
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
- Practice address
- 321 SE 3Rd St
Toledo, OR 97391-1613 - Phone
- (541) 368-6775
- NPI assigned
- Jan 23, 2023
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Yes |
Addresses
Primary practice location
321 SE 3Rd St
Toledo, OR 97391-1613
Mailing address
PO Box 893
Toledo, OR 97391-0893
Phone (541) 368-6775
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | amys@olallacenter.org | Direct | |
| Direct Messaging Address | amys@olallacenter.org | Direct |
Other providers in Toledo, OR
- Reilly Rice
- Colin Ryan
- Samaritan Pacific Health Services, Inc.
- Samaritan Pacific Health Services, Inc.
- Tonya Shields
- Tamara M Sibley
- Heather Smith
- Andre Somoza
- Linda Rae Sorokin
- Sophia Chernishoff Stewart
All providers in Toledo, OR · Mental Health Clinic/Center (Including Community Mental Health Center) in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 23, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.