Healthcare Provider Details

I. General information

NPI: 1982864724
Provider Name (Legal Business Name): ERIN E SCHNEIDER MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/16/2008
Last Update Date: 02/08/2024
Certification Date: 02/08/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2275 NE DOCTORS DR STE 5
BEND OR
97701-6324
US

IV. Provider business mailing address

1024 SE ACACIA PL
GRESHAM OR
97080-1972
US

V. Phone/Fax

Practice location:
  • Phone: 541-706-6700
  • Fax: 541-706-5996
Mailing address:
  • Phone: 503-351-9997
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberMD 60218150
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberMD 153897
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: