Schmiedeskamp, Kristen

Schmiedeskamp, Kristen is an individual health care provider with primary practice located at 3181 Sw Sam Jackson Park Rd , Portland OR 97239-3011. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Surgical is her primary health care specialty. Schmiedeskamp, Kristen can be contacted via phone (503) 494-4314.

Contact Information

Primary practice address
3181 Sw Sam Jackson Park Rd Portland OR 97239-3011
Phone: (503) 494-4314
Fax: (503) 346-6810
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA162371 Oregon
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA22177 California
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA162371 Oregon

Profile Details

NPI number 1992070874
LBN Legal business name Schmiedeskamp, Kristen
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 12th, 2012
Last updated Feb 11th, 2022 - about 3 years ago

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 1992070874 NPPES
Oregon MEDICAID 500656078
Oregon Other P01353883

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