Provider Demographics
NPI:1346411659
Name:SCHIEWE, PATRICIA A (LMT)
Entity type:Individual
Prefix:MS
First Name:PATRICIA
Middle Name:A
Last Name:SCHIEWE
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:MS
Other - First Name:TRISH
Other - Middle Name:
Other - Last Name:SCHIEWE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LICENSED LMT
Mailing Address - Street 1:6235 WASHINGTON CT
Mailing Address - Street 2:
Mailing Address - City:LAKE OSWEGO
Mailing Address - State:OR
Mailing Address - Zip Code:97035-4567
Mailing Address - Country:US
Mailing Address - Phone:503-636-4330
Mailing Address - Fax:
Practice Address - Street 1:6235 WASHINGTON CT
Practice Address - Street 2:
Practice Address - City:LAKE OSWEGO
Practice Address - State:OR
Practice Address - Zip Code:97035-4567
Practice Address - Country:US
Practice Address - Phone:503-636-4330
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-13
Last Update Date:2008-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORLMT 1796172M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172M00000XOther Service ProvidersMechanotherapist