Elise O Schroeder, N.D.

Primary specialty

NaturopathTaxonomy code 175F00000X

License

1192 Issued in OR

Practice address

3944 N Mississippi Ave
Portland, OR 97227-1163

Phone

(503) 517-8222

Fax

(503) 517-8223

NPI assigned

Jul 24, 2010

Sex

Female

Sole proprietor

No

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

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: elise.schroeder@202654966677508.direct.elationemr.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Dr Elise Schroeder

  • Clinic/Center
  • Portland, OR
  • NPI 1316311830
  NPD (past) Authorized official

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

{
    "created_epoch": "1279929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279929600000",
    "number": "1558674168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7027 N BOSTON AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972175711",
            "telephone_number": "503-806-7987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3944 N MISSISSIPPI AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972271163",
            "telephone_number": "503-517-8222",
            "fax_number": "503-517-8223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHROEDER",
        "first_name": "ELISE",
        "middle_name": "O",
        "name_prefix": "Dr.",
        "credential": "N.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-24",
        "last_updated": "2010-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "OR",
            "license": "1192",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aaron Schroeder, QMHA
• Adrienne Schroeder, AUD
• Claudia Schroeder, LCSW CADCI
• David Arthur Schroeder, M.D.
• Denise Schroeder, LMT
• James M Schroeder, P.A.
• Jillian Marie Schroeder, MD
• Kristin Elizabeth Schroeder, L.AC
• Max Schroeder
• Olivia Schroeder

• Naturopath in Portland, OR
• Providers in Portland, OR by specialty
• Naturopath in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2010; 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.