Individual
BENJAMIN SCHRODER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
400 9TH ST, FLORENCE, OR 97439-7398
(541) 997-8412
Mailing address
1115 SE 164TH AVE DEPT 358, VANCOUVER, WA 98683-8004
(360) 729-1253
(360) 729-3185
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA188928
OR
363AM0700X
Medical Physician Assistant
—
—
Other
Enumeration date
08/03/2018
Last updated
09/11/2018
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