Provider Demographics
NPI:1093211914
Name:SCHMIDT, DANA CONE (ND)
Entity Type:Individual
Prefix:
First Name:DANA
Middle Name:CONE
Last Name:SCHMIDT
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6230 SE BOISE ST
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97206-3700
Mailing Address - Country:US
Mailing Address - Phone:650-248-3529
Mailing Address - Fax:
Practice Address - Street 1:6230 SE BOISE ST
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97206-3700
Practice Address - Country:US
Practice Address - Phone:650-248-3529
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-03-30
Last Update Date:2018-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR4148175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath