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NPI Code Detail

MEDICARE: DIRK SCHMIDT OTR/L

MEDICARE: DIRK SCHMIDT OTR/L
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
1225X00000XOccupational Therapist298288OR

General Provider Information

NPI Number : 1588251904
Entity Type Code : Individual
Provider Name (Legal Business Name) : DIRK SCHMIDT OTR/L
Provider Business Mailing Address
First Line : 2300 WARREN ST
Second Line :
City : EUGENE
State : OR
Zip : 97405-1116
Country : US
Telephone Number : 541-686-2828
Fax Number : 541-242-5670
Provider Business Practice Location Address
First Line : 2300 WARREN ST
Second Line :
City : EUGENE
State : OR
Zip : 97405-1116
Country : US
Telephone Number : 541-686-2828
Fax Number : 541-242-5670
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/31/2020
Last Update Date : 12/31/2020

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Directions to “ DIRK SCHMIDT OTR/L” Practice Location

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