Healthcare Provider Details

I. General information

NPI: 1679774723
Provider Name (Legal Business Name): HILLSBORO GASTROENTEROLOGY PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/29/2007
Last Update Date: 06/15/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

232 SE 7TH AVE
HILLSBORO OR
97123-4133
US

IV. Provider business mailing address

232 SE 7TH AVE
HILLSBORO OR
97123-4133
US

V. Phone/Fax

Practice location:
  • Phone: 503-640-1614
  • Fax: 503-681-0925
Mailing address:
  • Phone: 503-640-1614
  • Fax: 503-681-0925

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License Number
License Number StateOR

VIII. Authorized Official

Name: JOHN A SCHAER
Title or Position: MD
Credential: MD
Phone: 503-640-1614