Individual
MICHAEL SCHULLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-8510
(503) 494-4631
Mailing address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-8510
(503) 494-4631
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA174983
OR
363AS0400X
Surgical Physician Assistant
Primary
PA174983
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA174983
STATE MEDICAL BOARD LICENSE
OR
Enumeration date
10/27/2015
Last updated
12/18/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us