Provider Demographics
NPI:1285226233
Name:SCHMIDT, TOMAS FLORIAN (HIS)
Entity Type:Individual
Prefix:
First Name:TOMAS
Middle Name:FLORIAN
Last Name:SCHMIDT
Suffix:
Gender:M
Credentials:HIS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15660 SW PACIFIC HWY STE A5
Mailing Address - Street 2:
Mailing Address - City:TIGARD
Mailing Address - State:OR
Mailing Address - Zip Code:97224-3556
Mailing Address - Country:US
Mailing Address - Phone:503-968-6445
Mailing Address - Fax:503-914-6661
Practice Address - Street 1:15660 SW PACIFIC HWY STE A5
Practice Address - Street 2:
Practice Address - City:TIGARD
Practice Address - State:OR
Practice Address - Zip Code:97224-3556
Practice Address - Country:US
Practice Address - Phone:503-968-6445
Practice Address - Fax:503-914-6661
Is Sole Proprietor?:No
Enumeration Date:2021-02-10
Last Update Date:2021-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR10212346237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist