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NPI Code Detail

MEDICARE: JAMES EDWARD SCHRAMM PA-C

MEDICARE: JAMES EDWARD SCHRAMM 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
1163W00000XRegistered NurseRN 00070001WA
2363A00000XPhysician AssistantPA10003531WA
3363A00000XPhysician AssistantPA01254OR

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
10211516OTHERWALABOR & INDUSTRIES #

General Provider Information

NPI Number : 1821216284
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAMES EDWARD SCHRAMM PA-C
Provider Business Mailing Address
First Line : 1620 THOMPSON RD.
Second Line :
City : COOS BAY
State : OR
Zip : 97420-2150
Country : US
Telephone Number : 541-269-2986
Fax Number : 541-269-7987
Provider Business Practice Location Address
First Line : 1620 THOMPSON RD.
Second Line :
City : COOS BAY
State : OR
Zip : 97420-2150
Country : US
Telephone Number : 541-269-2986
Fax Number : 541-269-7987
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/23/2007
Last Update Date : 11/11/2008

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Directions to “ JAMES EDWARD SCHRAMM PA-C” Practice Location

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