Individual
WHITNEY RAILEEN SCHROEDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2073 OLYMPIC ST, SPRINGFIELD, OR 97477-3413
(541) 682-3530
Mailing address
4480 LONG ST, SWEET HOME, OR 97386-1227
(541) 401-9933
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
201401468LPN
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
201401468LPN
OREGON STATE
OR
Enumeration date
03/19/2014
Last updated
03/19/2014
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