Provider Demographics
NPI:1033160031
Name:SCHELER, LORETTA (MD, MPH)
Entity Type:Individual
Prefix:DR
First Name:LORETTA
Middle Name:
Last Name:SCHELER
Suffix:
Gender:F
Credentials:MD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1700 EAST 19TH ST
Mailing Address - Street 2:MID-COLUMBIA MEDICAL CENTER
Mailing Address - City:THE DALLES
Mailing Address - State:OR
Mailing Address - Zip Code:97058
Mailing Address - Country:US
Mailing Address - Phone:563-528-2401
Mailing Address - Fax:
Practice Address - Street 1:1700 EAST 19TH ST
Practice Address - Street 2:MID-COLUMBIA MEDICAL CENTER
Practice Address - City:THE DALLES
Practice Address - State:OR
Practice Address - Zip Code:97058
Practice Address - Country:US
Practice Address - Phone:563-528-2401
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-05-14
Last Update Date:2010-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA36422207Q00000X
ORMD28171207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA0472423Medicaid