Individual
DR. LISA ANNE SCHIMMEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1130 SW MORRISON ST, SUITE 619, PORTLAND, OR 97205-2234
(503) 381-9524
(855) 714-4323
Mailing address
1631 NE BROADWAY ST, PMB 738, PORTLAND, OR 97232-1425
(503) 381-9524
(855) 714-4323
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1709
OR
103TC0700X
Clinical Psychologist
PSY 15072
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
178132
MHN
CA
01
—
OPL150720
BLUESHIELD OF CALIFORNIA
CA
01
—
PSY 15072
MEDI-CAL PROVIDER NUMBER
CA
Enumeration date
08/31/2006
Last updated
06/25/2012
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us