Healthcare Provider Details

I. General information

NPI: 1851329783
Provider Name (Legal Business Name): ROBERT E SCHMIDT MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/29/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

333 SE 7TH AVE SUITE 4500
HILLSBORO OR
97123-4157
US

IV. Provider business mailing address

333 SE 7TH AVE SUITE 4500
HILLSBORO OR
97123-4157
US

V. Phone/Fax

Practice location:
  • Phone: 503-648-6611
  • Fax: 503-640-3178
Mailing address:
  • Phone: 503-648-6611
  • Fax: 503-640-3178

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License NumberMD21226
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: