Individual
LYDIA EMMA SCHOSNIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
19500 SE STARK ST, PORTLAND, OR 97233-5757
(503) 669-3900
(503) 669-3968
Mailing address
5510 SE WELCH RD, GRESHAM, OR 97080-8234
(503) 663-9320
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
090007195N2 PNP-PP
OR
Other
Enumeration date
10/18/2006
Last updated
07/08/2007
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