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General NPI Number Information
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NPI Number | 1821216284
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Entity Type | Individual
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Provider Name | JAMES EDWARD SCHRAMM PA-C
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Gender | Male
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Dates
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Enumeration Date | 04/23/2007
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Last Update Date | 11/11/2008
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Provider Practice Location Address
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Address Line | 1620 THOMPSON RD.
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City | COOS BAY
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State | OR
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Zip | 97420-2150
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Country | US
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Telephone | 541-269-2986
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Fax | 541-269-7987
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Provider Business Mailing Address
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Address Line | 1620 THOMPSON RD.
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City | COOS BAY
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State | OR
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Zip | 97420-2150
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Country | US
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Telephone | 541-269-2986
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Fax | 541-269-7987
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN 00070001
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA10003531
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License Number State | WA
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Taxonomy #3
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA01254
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License Number State | OR
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