Provider Demographics
NPI:1427307917
Name:SCHATZ, NADINE CAROL
Entity type:Individual
Prefix:MS
First Name:NADINE
Middle Name:CAROL
Last Name:SCHATZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12050 S.E. WIESE RD.
Mailing Address - Street 2:
Mailing Address - City:DAMASCUS
Mailing Address - State:OR
Mailing Address - Zip Code:97089-8356
Mailing Address - Country:US
Mailing Address - Phone:503-504-0757
Mailing Address - Fax:
Practice Address - Street 1:12050 S.E. WIESE RD.
Practice Address - Street 2:
Practice Address - City:DAMASCUS
Practice Address - State:OR
Practice Address - Zip Code:97089-8356
Practice Address - Country:US
Practice Address - Phone:503-504-0757
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-30
Last Update Date:2012-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR089003267RN163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse