Individual
KERRY ABBOT SCHAEFER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3605 SE 26TH AVE, PORTLAND, OR 97202-2953
(503) 320-6825
(503) 548-4013
Mailing address
3605 SE 26TH AVE, PORTLAND, OR 97202-2953
(971) 231-4536
(503) 376-3790
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD151149
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500655237
—
OR
Enumeration date
08/22/2008
Last updated
07/21/2022
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