Healthcare Provider Details

I. General information

NPI: 1912786625
Provider Name (Legal Business Name): SCHINE HEALTH PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/22/2023
Last Update Date: 03/12/2026
Certification Date: 03/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

105 N TOWER AVE
CENTRALIA WA
98531-4206
US

IV. Provider business mailing address

105 N TOWER AVE
CENTRALIA WA
98531-4206
US

V. Phone/Fax

Practice location:
  • Phone: 360-726-3754
  • Fax: 360-925-2865
Mailing address:
  • Phone: 360-726-3754
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: LAURA L SPENCER-WAGNER
Title or Position: ACCOUNT SPECIALIST
Credential:
Phone: 970-529-3348