| Elizabeth A. Schmick Do Llc | |
|
325 Nw 21st Ave Ste 100 Portland OR 97209-1179 | |
| (971) 219-1501 | |
| (503) 200-1137 |
| Full Name | Elizabeth A. Schmick Do Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 325 Nw 21st Ave Ste 100, Portland, Oregon |
| Authorized Official Name and Position | Elizabeth Ann Schmick (OWNER) |
| Authorized Official Contact | 9712191501 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Elizabeth A. Schmick Do Llc 9016 N Polk Ave Portland OR 97203-2341 Ph: (971) 219-1501 | Elizabeth A. Schmick Do Llc 325 Nw 21st Ave Ste 100 Portland OR 97209-1179 Ph: (971) 219-1501 |
| NPI Number | 1912427717 |
|---|---|
| Provider Enumeration Date | 06/22/2017 |
| Last Update Date | 06/22/2017 |
| Medicare PECOS PAC ID | 1759654098 |
|---|---|
| Medicare Enrollment ID | O20170907002144 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912427717 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | DO173184 (Oregon) | Primary |
| Provider Name | Elizabeth A Schmick |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1063750925 PECOS PAC ID: 7113203597 Enrollment ID: I20170419002374 |
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