MEDICARE: MAUREEN MALONEY-SCHOU B.C.O.

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	156FX1700X	Ocularist

Other Identifiers

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

General Provider Information

NPI Number	:	1801988373
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MAUREEN MALONEY-SCHOU B.C.O.

Provider Business Mailing Address
First Line	:	4035 MERCANTILE DR STE 208
Second Line	:
City	:	LAKE OSWEGO
State	:	OR
Zip	:	97035-2591
Country	:	US
Telephone Number	:	503-675-1320
Fax Number	:

Provider Business Practice Location Address
First Line	:	4035 MERCANTILE DR STE 208
Second Line	:
City	:	LAKE OSWEGO
State	:	OR
Zip	:	97035-2591
Country	:	US
Telephone Number	:	503-675-1320
Fax Number	:

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

Provider Enumeration Date	:	09/29/2006
Last Update Date	:	07/08/2007

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Directions to “ MAUREEN MALONEY-SCHOU B.C.O.” Practice Location

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