Provider Demographics
NPI:1063258499
Name:ELIZABETH SCHULER DMD LLC
Entity type:Organization
Organization Name:ELIZABETH SCHULER DMD LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:F
Authorized Official - Last Name:SCHULER
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:502-608-2076
Mailing Address - Street 1:202 NE 181ST AVE
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97230-6664
Mailing Address - Country:US
Mailing Address - Phone:503-912-0443
Mailing Address - Fax:
Practice Address - Street 1:202 NE 181ST AVE STE C
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97230-6664
Practice Address - Country:US
Practice Address - Phone:503-912-0443
Practice Address - Fax:503-912-0742
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-04
Last Update Date:2024-07-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Single Specialty