Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RC0000X | Internist - Cardiovascular Disease | MD00016951 | WA |
N | 207RI0011X | Interventional Cardiology | MD00016951 | WA |
NPI | 1023058229 |
---|---|
Provider Name | James M Schmitt |
First Address | Portland, OR 97208-3360 |
Second Address | Everett, WA 98208-6526 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/06/2006 |
Last Update Date | 21/09/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0067763 | LABOR AND INDUSTRY (01) | WA |
060049940 | RAILROAD MEDICARE (01) | WA |
8163719 | (05) | WA |
F04590 | (02) | |
MD00016951 | STATE LICENSE NUMBER (01) | WA |