Individual
STEVEN SCHIENBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5212 NW LINCOLN AVE, VANCOUVER, WA 98663-1538
(541) 977-5727
Mailing address
5212 NW LINCOLN AVE, VANCOUVER, WA 98663-1538
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
10682
OR
235Z00000X
Speech-Language Pathologist
LL 60132469
WA
235Z00000X
Speech-Language Pathologist
SP 19786
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10682
STATE LICENSE
OR
01
—
LL 60132469
STATE CERTIFICATION
WA
01
—
SP 19786
STATE LICENSE
CA
Enumeration date
09/05/2012
Last updated
09/05/2012
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