Provider Demographics
NPI:1275517310
Name:SCHREINER, MIA S (MD)
Entity Type:Individual
Prefix:
First Name:MIA
Middle Name:S
Last Name:SCHREINER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:MIA
Other - Middle Name:LYNN
Other - Last Name:SCHEUFELE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 1700
Mailing Address - Street 2:
Mailing Address - City:ROSEBURG
Mailing Address - State:OR
Mailing Address - Zip Code:97470-0414
Mailing Address - Country:US
Mailing Address - Phone:541-440-5320
Mailing Address - Fax:541-440-5322
Practice Address - Street 1:1741 W. HARVARD AVE
Practice Address - Street 2:
Practice Address - City:ROSEBURG
Practice Address - State:OR
Practice Address - Zip Code:97471-2716
Practice Address - Country:US
Practice Address - Phone:541-440-5320
Practice Address - Fax:541-440-5322
Is Sole Proprietor?:No
Enumeration Date:2005-12-02
Last Update Date:2015-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORMD254482084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR023081Medicaid
OR023081Medicaid
ORR150709Medicare PIN