Individual
MS. SHELISA R SCHROEDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
705 SW COAST HWY, NEWPORT, OR 97365-5017
(541) 574-4860
Mailing address
PO BOX 2847, CORVALLIS, OR 97339-2847
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
200850009NP
OR
363LF0000X
Family Nurse Practitioner
Primary
200850009NP
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
218415
—
OR
Enumeration date
07/17/2006
Last updated
11/20/2023
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