Healthcare Provider Details

I. General information

NPI: 1912811324
Provider Name (Legal Business Name): NICHOLAS SCHMIT 26-CRM-5125
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/01/2026
Last Update Date: 10/01/2026
Certification Date: 10/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

231 LYON ST SE
ALBANY OR
97321-2707
US

IV. Provider business mailing address

1510 LINWOOD ST
EUGENE OR
97404-2743
US

V. Phone/Fax

Practice location:
  • Phone: 541-791-3411
  • Fax:
Mailing address:
  • Phone: 443-534-0045
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175T00000X
TaxonomyPeer Specialist
License Number
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: