Healthcare Provider Details

I. General information

NPI: 1184216079
Provider Name (Legal Business Name): JEWEL SCHNEIDER MSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JEWEL SCHNEIDER

II. Dates (important events)

Enumeration Date: 02/11/2021
Last Update Date: 04/02/2026
Certification Date: 04/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8196 SW HALL BLVD STE 230
BEAVERTON OR
97008-6401
US

IV. Provider business mailing address

3806 SW ORBIT ST UNIT 211
BEAVERTON OR
97005-3065
US

V. Phone/Fax

Practice location:
  • Phone: 541-638-0830
  • Fax: 971-223-0998
Mailing address:
  • Phone: 503-421-3777
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: