MEDICARE: MISS EMMA ROSE SCHAUS PA-C

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	363A00000X	Physician Assistant	MA057956	PA
2	363AS0400X	Surgical Physician Assistant	PA192050	OR

General Provider Information

NPI Number	:	1508230533
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MISS EMMA ROSE SCHAUS PA-C

Provider Business Mailing Address
First Line	:	2933 MARY ST APT 201
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15203-2539
Country	:	US
Telephone Number	:	716-982-8786
Fax Number	:

Provider Business Practice Location Address
First Line	:	335 SE 8TH AVE
Second Line	:
City	:	HILLSBORO
State	:	OR
Zip	:	97123-4248
Country	:	US
Telephone Number	:	503-681-1111
Fax Number	:	503-681-4066

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

Provider Enumeration Date	:	11/13/2015
Last Update Date	:	09/29/2020

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