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Contact Information

SHELLEY A BRUCKER, PMHNP
2600 CENTER ST NE
SALEM, OR97301-2682
 Phone: 503-947-8109
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatry

2084P0800X 26 Physician/Psychiatry
Indicates primary specialty

NPI Profile & details for SHELLEY A BRUCKER · (Female)

NPI # 1215625066
Status Active
Credentials PMHNP
Entity Individual
Enumeration date 04/28/2023
Last updated 04/28/2023 - About 3 years ago
Sole proprietor 1 Yes
Identifiers
  • OR License # 10007686
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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