Healthcare Provider Details

I. General information

NPI: 1245251479
Provider Name (Legal Business Name): ELIZABETH MAXINE SCHINDLER CRNA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ELIZABETH SCHINDLER CRNA

II. Dates (important events)

Enumeration Date: 07/22/2006
Last Update Date: 05/29/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3333 RIVERBEND DR
SPRINGFIELD OR
97477-8800
US

IV. Provider business mailing address

PO BOX 7247
SPRINGFIELD OR
97475-0011
US

V. Phone/Fax

Practice location:
  • Phone: 541-686-7300
  • Fax:
Mailing address:
  • Phone: 541-686-9551
  • Fax: 541-687-6716

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number097006124CRNA
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: