Healthcare Provider Details

I. General information

NPI: 1508230533
Provider Name (Legal Business Name): EMMA ROSE SCHAUS PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/13/2015
Last Update Date: 09/29/2020
Certification Date: 09/29/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

335 SE 8TH AVE
HILLSBORO OR
97123-4248
US

IV. Provider business mailing address

2933 MARY ST APT 201
PITTSBURGH PA
15203-2539
US

V. Phone/Fax

Practice location:
  • Phone: 503-681-1111
  • Fax: 503-681-4066
Mailing address:
  • Phone: 716-982-8786
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberMA057956
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code363AS0400X
TaxonomySurgical Physician Assistant
License NumberPA192050
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: