Healthcare Provider Details

I. General information

NPI: 1487894697
Provider Name (Legal Business Name): RAYMOND SCHEIMER DPM
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/27/2009
Last Update Date: 01/04/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

23606 NE 178TH ST
BRUSH PRAIRIE WA
98606-7756
US

IV. Provider business mailing address

23606 NE 178TH ST
BRUSH PRAIRIE WA
98606-7756
US

V. Phone/Fax

Practice location:
  • Phone: 360-635-3302
  • Fax: 360-891-7706
Mailing address:
  • Phone: 360-635-3302
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License NumberPO-37
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: