Provider Demographics
NPI:1164622536
Name:SCHUMACHER, JES (RDH, BCIAC)
Entity Type:Individual
Prefix:MS
First Name:JES
Middle Name:
Last Name:SCHUMACHER
Suffix:
Gender:F
Credentials:RDH, BCIAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:950 30TH ST
Mailing Address - Street 2:
Mailing Address - City:PORT TOWNSEND
Mailing Address - State:WA
Mailing Address - Zip Code:98368-4901
Mailing Address - Country:US
Mailing Address - Phone:360-301-4431
Mailing Address - Fax:360-385-1460
Practice Address - Street 1:1441 F ST
Practice Address - Street 2:
Practice Address - City:PORT TOWNSEND
Practice Address - State:WA
Practice Address - Zip Code:98368-5143
Practice Address - Country:US
Practice Address - Phone:360-385-1460
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-23
Last Update Date:2007-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist