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Individual

EILEEN F SCHMELLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
3727 NE MARTIN LUTHER KING JR BLVD, PORTLAND, OR 97212-1112
(503) 775-4931
(503) 788-7285
Mailing address
3727 NE MARTIN LUTHER KING JR BLVD, ATTN: CREDENTIALING, PORTLAND, OR 97212-1112
(503) 775-4931
(503) 788-7285

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
200550162NP
OR
363LF0000X
Family Nurse Practitioner
AP30004235
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
279384
OR
05
9621467
WA
Enumeration date
09/30/2008
Last updated
11/15/2011
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