Individual
MRS. CORINNE G A SCHAEFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICAL THERAPIST
Contact information
Practice address
17700 SE MILL PLAIN BLVD, SUITE 150, VANCOUVER, WA 98683-7580
(360) 514-9383
(360) 514-0193
Mailing address
16083 SW UPPER BOONES FERRY RD, SUITE 300, TIGARD, OR 97224-7736
(800) 219-8835
(503) 639-9699
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
06313
OR
225100000X
Physical Therapist
Primary
PT00010189
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1376653238
—
WA
05
—
500630776
—
OR
05
—
8459661
—
WA
01
—
P00742613
RR MEDICARE
WA
Enumeration date
08/30/2006
Last updated
12/16/2013
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