Individual
MR. JON SCHMIDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
10202 SE 32ND AVE, MILWAUKIE, OR 97222-3610
(503) 513-8067
Mailing address
10202 SE 32ND AVE, MILWAUKIE, OR 97222-3610
(503) 513-8067
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
THW000110579
OR
Other
Enumeration date
04/23/2024
Last updated
04/23/2024
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