IndividualActive
Shelly Carlson, QMHA
NPI 1174146948 · Rehabilitation Practitioner · Salem, OR
Provider details
- NPI number
- 1174146948
- Entity type
- Individual
- Primary specialty
- Rehabilitation PractitionerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- QMHA
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
3723 Fairview Industrial Dr Se Ste 170
Salem, OR 97302-1174
Phone: (503) 371-1970
Fax: (503) 371-0192
Approximate (ZIP-level) locationGet directions
Mailing address
3723 Fairview Industrial Dr Se Ste 170
Salem, OR 97302-1174
Registry dates
- Enumerated
- 2020-05-27
- Last updated
- 2020-05-27
- Certified
- 2020-05-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.