Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207KA0200X | Allergist | MDVE28929 | OR |
N | 2080P0201X | Pediatric Allergist | MDVE28929 | OR |
NPI | 1568482610 |
---|---|
Provider Name | Dr. Robert Henry Schwartz |
First Address | Portland, OR 97211-2623 |
Second Address | Portland, OR 97211-2623 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/07/2006 |
Last Update Date | 22/02/2016 |