Provider Demographics
NPI:1407045313
Name:SCHAAD, ANNETTE M M (DC)
Entity Type:Individual
Prefix:DR
First Name:ANNETTE
Middle Name:M M
Last Name:SCHAAD
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:ANNETTE
Other - Middle Name:MARIE
Other - Last Name:MORASCH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:1914 4TH ST
Mailing Address - Street 2:
Mailing Address - City:TILLAMOOK
Mailing Address - State:OR
Mailing Address - Zip Code:97141-2222
Mailing Address - Country:US
Mailing Address - Phone:503-815-3007
Mailing Address - Fax:
Practice Address - Street 1:8221 NE HAZEL DELL AVE
Practice Address - Street 2:
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98665-8153
Practice Address - Country:US
Practice Address - Phone:360-904-1934
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-16
Last Update Date:2010-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACH00034651111N00000X
OR3685111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor