Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VX0000X | Obstetrician | MD07068 | OR |
NPI | 1023076890 |
---|---|
Provider Name | Dr. Frederick G Schmidt |
First Address | Oregon City, OR 97045-1582 |
Second Address | Oregon City, OR 97045-1582 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/05/2006 |
Last Update Date | 31/10/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
181115 | (05) | OR |
C94504 | (02) | OR |