Provider Demographics
NPI:1982467981
Name:SHUST, STEVEN B
Entity Type:Individual
Prefix:
First Name:STEVEN
Middle Name:B
Last Name:SHUST
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:32001 E SHINGLE MILL LN
Mailing Address - Street 2:
Mailing Address - City:ARCH CAPE
Mailing Address - State:OR
Mailing Address - Zip Code:97102-0168
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:32001 E SHINGLE MILL LN
Practice Address - Street 2:
Practice Address - City:ARCH CAPE
Practice Address - State:OR
Practice Address - Zip Code:97102-0168
Practice Address - Country:US
Practice Address - Phone:503-440-4208
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-02-01
Last Update Date:2024-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician