Individual
EDWARD H SCHULTHEISS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6811 LEMONGRASS LOOP SE, SALEM, OR 97306-1489
(503) 559-7763
Mailing address
6811 LEMONGRASS LOOP SE, SALEM, OR 97306-1489
(503) 559-7763
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
MD13676
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
092254
—
OR
Enumeration date
01/03/2006
Last updated
12/29/2020
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