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NPI Code Detail

MEDICARE: MARTA CAROLINE SCHENCK MD

MEDICARE: MARTA CAROLINE SCHENCK MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician12439698-1205UT
2207Q00000XFamily Medicine PhysicianMD215017OR

General Provider Information

NPI Number : 1043847452
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARTA CAROLINE SCHENCK MD
Provider Business Mailing Address
First Line : 500 NE MULTNOMAH ST STE 100
Second Line :
City : PORTLAND
State : OR
Zip : 97232-2031
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3550 N INTERSTATE AVE
Second Line :
City : PORTLAND
State : OR
Zip : 97227-1196
Country : US
Telephone Number : 800-813-2000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/25/2020
Last Update Date : 04/21/2026

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Directions to “ MARTA CAROLINE SCHENCK MD” Practice Location

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