Healthcare Provider Details

I. General information

NPI: 1063376622
Provider Name (Legal Business Name): EMILY ROSE SCHURZ PTA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/09/2025
Last Update Date: 12/09/2025
Certification Date: 12/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

270 NW BURNSIDE RD
GRESHAM OR
97030-3836
US

IV. Provider business mailing address

2130 SE BARNES RD
GRESHAM OR
97080-5297
US

V. Phone/Fax

Practice location:
  • Phone: 503-215-9141
  • Fax: 503-215-9149
Mailing address:
  • Phone: 541-910-0498
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225200000X
TaxonomyPhysical Therapy Assistant
License Number8750
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: