Healthcare Provider Details

I. General information

NPI: 1912118993
Provider Name (Legal Business Name): CHUCK SCHMITT LMFT
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/24/2007
Last Update Date: 11/27/2024
Certification Date: 11/27/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5462 SE 81ST AVE
HILLSBORO OR
97123-4482
US

IV. Provider business mailing address

5462 SE 81ST AVE
HILLSBORO OR
97123-4482
US

V. Phone/Fax

Practice location:
  • Phone: 503-616-5753
  • Fax:
Mailing address:
  • Phone: 503-616-5753
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberTO468
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: