Individual
JOHN H SCHWARTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
18040 SW LOWER BOONES FERRY RD, SUITE 100, TIGARD, OR 97224-7259
(503) 216-0700
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
(503) 215-6494
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
1707
AK
207Q00000X
Family Medicine Physician
MD158400
OR
207QG0300X
Geriatric Medicine (Family Medicine) Physician
MD158400
OR
207R00000X
Internal Medicine Physician
MD158400
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00168125
RAILROAD MEDICARE PIN#
AK
Enumeration date
08/12/2006
Last updated
03/24/2021
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