Mary Connell Schroder, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

201140001RN Issued in OR

Practice address

13010 SW Iron Mountain Blvd
Portland, OR 97219-8520

Phone

(503) 699-7339

NPI assigned

Jul 7, 2012

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1341619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341619200000",
    "number": "1073878963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13010 SW IRON MOUNTAIN BLVD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972198520",
            "telephone_number": "503-699-7339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13010 SW IRON MOUNTAIN BLVD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972198520",
            "telephone_number": "503-699-7339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHRODER",
        "first_name": "MARY",
        "middle_name": "CONNELL",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-07",
        "last_updated": "2012-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OR",
            "license": "201140001RN",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shanta L Schriever, WHCNP
• Kyle Schrift
• Calvin Schrock, MSW, CADC1
• Heather M Schrock, NTP
• Alexandra Schroder, LMSW
• Aaron Schroeder, QMHA
• Adrienne Schroeder, AUD
• Claudia Schroeder, LCSW CADCI
• David Arthur Schroeder, M.D.
• Denise Schroeder, LMT

• Registered Nurse in Portland, OR
• Providers in Portland, OR by specialty
• Registered Nurse in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.