Basic Information
Provider Information
NPI: 1699130625
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SCHIMS
FirstName: VERONICA
MiddleName: D
NamePrefix:  
NameSuffix:  
Credential: DO
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 700 NE 87TH AVE
Address2:  
City: VANCOUVER
State: WA
PostalCode: 986644896
CountryCode: US
TelephoneNumber: 3608822778
FaxNumber:  
Practice Location
Address1: 400 NE MOTHER JOSEPH PL
Address2:  
City: VANCOUVER
State: WA
PostalCode: 986643200
CountryCode: US
TelephoneNumber: 3605142000
FaxNumber: 3606041767
Other Information
ProviderEnumerationDate: 12/17/2015
LastUpdateDate: 08/27/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 08/27/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000XOP61056854WAY Allopathic & Osteopathic PhysiciansInternal Medicine 

No ID Information.


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