Individual
ELIZABETH SCHMIDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1793 13TH ST SE, SALEM, OR 97302-2541
(503) 362-8385
(503) 362-8435
Mailing address
1793 13TH ST SE, SALEM, OR 97302-2541
(503) 362-8385
(503) 362-8435
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA180827
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500720256
—
OR
Enumeration date
01/03/2017
Last updated
03/17/2018
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