Schroeder, Shelisa R

Schroeder, Shelisa R is an individual health care provider with primary practice located at 705 Sw Coast Hwy , Newport OR 97365-5017. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Schroeder, Shelisa R can be contacted via phone (541) 574-4860.

Contact Information

Primary practice address
705 Sw Coast Hwy Newport OR 97365-5017
Phone: (541) 574-4860
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 200850009NP Oregon
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 200850009NP Oregon

Profile Details

NPI number 1740208222
LBN Legal business name Schroeder, Shelisa R
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 17th, 2006
Last updated Nov 20th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1740208222 NPPES
Oregon MEDICAID 218415

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