Provider Demographics
NPI:1174509897
Name:SCHWAB, PASCALE M (MD)
Entity Type:Individual
Prefix:DR
First Name:PASCALE
Middle Name:M
Last Name:SCHWAB
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3181 SW SAM JACKSON PARK RD
Mailing Address - Street 2:OP09
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97239-3011
Mailing Address - Country:US
Mailing Address - Phone:503-494-8963
Mailing Address - Fax:503-494-1022
Practice Address - Street 1:3181 SW SAM JACKSON PARK RD
Practice Address - Street 2:OP09
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97239-3011
Practice Address - Country:US
Practice Address - Phone:503-494-8963
Practice Address - Fax:503-494-1022
Is Sole Proprietor?:No
Enumeration Date:2005-12-15
Last Update Date:2007-09-18
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXJ8761207RR0500X
ORMD27047207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR213023Medicaid
OR8467532OtherWASHINGTON WELFARE
OR135507Medicare PIN
OR213023Medicaid