Basic Information
| Provider Information | |||||||||
| NPI: | 1689226409 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | SCHEL | ||||||||
| FirstName: | TRICIA | ||||||||
| MiddleName: | |||||||||
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| Credential: | RDH | ||||||||
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| Mailing Information | |||||||||
| Address1: | 116810 MERIDIAN E UNIT J107 | ||||||||
| Address2: | |||||||||
| City: | PUYALLUP | ||||||||
| State: | WA | ||||||||
| PostalCode: | 98597 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2538487777 | ||||||||
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| Practice Location | |||||||||
| Address1: | 14458 99TH WAY SE | ||||||||
| Address2: | |||||||||
| City: | YELM | ||||||||
| State: | WA | ||||||||
| PostalCode: | 985978835 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8437439517 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/11/2019 | ||||||||
| LastUpdateDate: | 07/11/2019 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 124Q00000X | 60912976 | WA | Y | Dental Providers | Dental Hygienist |
ID Information
| ID | Type | State | Issuer | Description | 60912976 | 01 | WA | WASHINGTON STATE LICENSE | OTHER |