Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NX0800X | Chiropractor Orthopedic Specialist | 1788 | OR |
NPI | 1063566388 |
---|---|
Provider Name | Dr. Stephen Scheer |
First Address | Scappoose, OR 97056-1108 |
Second Address | Scappoose, OR 97056-1108 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 23/01/2007 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
T68096 | (02) | OR |