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NPI Code Detail

MEDICARE: MS. NAN BRYAN SCHREITZ CNM

MEDICARE: MS. NAN BRYAN SCHREITZ CNM
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
1367A00000XAdvanced Practice Midwife200750126NPOR

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1225224272
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. NAN BRYAN SCHREITZ CNM
Provider Business Mailing Address
First Line : 3727 NE MARTIN LUTHER KING JR BLVD
Second Line :
City : PORTLAND
State : OR
Zip : 97212-1112
Country : US
Telephone Number : 503-775-4931
Fax Number : 503-788-7285
Provider Business Practice Location Address
First Line : 3231 SE 50TH AVE
Second Line :
City : PORTLAND
State : OR
Zip : 97206-2248
Country : US
Telephone Number : 503-775-4931
Fax Number : 503-788-7285
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/23/2007
Last Update Date : 12/04/2013

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1467462580 — BEVERLY M STEWART ARNP
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