Provider Demographics
NPI:1437362142
Name:SCHARWATT, BILL RAYMOND (DMD)
Entity Type:Individual
Prefix:DR
First Name:BILL
Middle Name:RAYMOND
Last Name:SCHARWATT
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13980 AMBERWOOD CIRCLE
Mailing Address - Street 2:
Mailing Address - City:LAKE OSWEGO
Mailing Address - State:OR
Mailing Address - Zip Code:97035
Mailing Address - Country:US
Mailing Address - Phone:503-639-0974
Mailing Address - Fax:503-239-7741
Practice Address - Street 1:13980 AMBERWOOD CIRCLE
Practice Address - Street 2:
Practice Address - City:LAKE OSWEGO
Practice Address - State:OR
Practice Address - Zip Code:97035
Practice Address - Country:US
Practice Address - Phone:503-639-0974
Practice Address - Fax:503-239-7741
Is Sole Proprietor?:No
Enumeration Date:2007-05-08
Last Update Date:2012-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR39001223E0200X, 122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
No1223E0200XDental ProvidersDentistEndodontics