Elizabeth a. Schmick DO LLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

License

DO173184 Issued in OR

Legal business name

ELIZABETH A. SCHMICK DO LLC

Practice address

325 NW 21St Ave Ste 100
Portland, OR 97209-1179

Phone

(971) 219-1501

Fax

(503) 200-1137

NPI assigned

Jun 22, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Elizabeth Ann Schmick, DO

Title

Owner

Phone

(971) 219-1501

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1498089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1498089600000",
    "number": "1912427717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9016 N POLK AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972032341",
            "telephone_number": "971-219-1501",
            "fax_number": "503-200-1137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 NW 21ST AVE STE 100",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972091179",
            "telephone_number": "971-219-1501",
            "fax_number": "503-200-1137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELIZABETH A. SCHMICK DO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-22",
        "last_updated": "2017-06-22",
        "status": "A",
        "authorized_official_last_name": "SCHMICK",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "971-219-1501",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "OR",
            "license": "DO173184",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Adult Mental Health Clinic/Center in Portland, OR
• Providers in Portland, OR by specialty
• Adult Mental Health Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2017; 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.