MEDICARE: PATRIC SCHINE N.P.

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
1	363LF0000X	Family Nurse Practitioner	NP13999	CA
2	207Q00000X	Family Medicine Physician	AP61373875	WA
3	363LF0000X	Family Nurse Practitioner	AP61373875	WA

General Provider Information

NPI Number	:	1427091628
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PATRIC SCHINE N.P.

Provider Business Mailing Address
First Line	:	105 N TOWER AVE
Second Line	:
City	:	CENTRALIA
State	:	WA
Zip	:	98531-4206
Country	:	US
Telephone Number	:	360-726-3754
Fax Number	:	360-925-3493

Provider Business Practice Location Address
First Line	:	105 N TOWER AVE
Second Line	:
City	:	CENTRALIA
State	:	WA
Zip	:	98531-4206
Country	:	US
Telephone Number	:	360-726-3754
Fax Number	:	360-925-2865

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/14/2006
Last Update Date	:	03/12/2026

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