Individual
DIANE MONICA SCHMITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
960 LIBERTY ST SE STE 200, SALEM, OR 97302-4195
(503) 399-0652
(503) 373-3852
Mailing address
2055 MYRTLE AVE NE, SALEM, OR 97301-7269
(509) 979-6761
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA195972
OR
Other
Enumeration date
09/08/2018
Last updated
12/06/2019
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