Provider Demographics
NPI:1083712129
Name:SCHARFER, CAROL ELIZABETH (MSCCC-SLP)
Entity type:Individual
Prefix:MS
First Name:CAROL
Middle Name:ELIZABETH
Last Name:SCHARFER
Suffix:
Gender:F
Credentials:MSCCC-SLP
Other - Prefix:MRS
Other - First Name:CAROL
Other - Middle Name:ELIZABETH
Other - Last Name:ENGDALL
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MSCCC-SLP
Mailing Address - Street 1:SKYLINE MEDICAL OFFICE
Mailing Address - Street 2:5125 SKYLINE ROAD, SOUTH
Mailing Address - City:SALEM
Mailing Address - State:OR
Mailing Address - Zip Code:97306-9413
Mailing Address - Country:US
Mailing Address - Phone:503-315-4661
Mailing Address - Fax:
Practice Address - Street 1:SKYLINE MEDICAL OFFICE
Practice Address - Street 2:5125 SKYLINE ROAD, SOUTH
Practice Address - City:SALEM
Practice Address - State:OR
Practice Address - Zip Code:97306-9427
Practice Address - Country:US
Practice Address - Phone:503-315-4661
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-20
Last Update Date:2007-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR10384235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist