Provider Demographics
NPI:1104159565
Name:COMPANION PET CLINIC
Entity type:Organization
Organization Name:COMPANION PET CLINIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VET
Authorized Official - Prefix:DR
Authorized Official - First Name:D
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHLINGMAN
Authorized Official - Suffix:
Authorized Official - Credentials:DVM
Authorized Official - Phone:503-641-9151
Mailing Address - Street 1:14292A SW ALLEN BLVD
Mailing Address - Street 2:
Mailing Address - City:BEAVERTON
Mailing Address - State:OR
Mailing Address - Zip Code:97005-4405
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:14292A SW ALLEN BLVD
Practice Address - Street 2:
Practice Address - City:BEAVERTON
Practice Address - State:OR
Practice Address - Zip Code:97005-4405
Practice Address - Country:US
Practice Address - Phone:503-641-9151
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-16
Last Update Date:2009-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR16293174M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174M00000XOther Service ProvidersVeterinarianGroup - Multi-Specialty