Provider Demographics
NPI:1508230533
Name:SCHAUS, EMMA ROSE (PA-C)
Entity Type:Individual
Prefix:MISS
First Name:EMMA ROSE
Middle Name:
Last Name:SCHAUS
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2933 MARY ST APT 201
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15203-2539
Mailing Address - Country:US
Mailing Address - Phone:716-982-8786
Mailing Address - Fax:
Practice Address - Street 1:335 SE 8TH AVE
Practice Address - Street 2:
Practice Address - City:HILLSBORO
Practice Address - State:OR
Practice Address - Zip Code:97123-4248
Practice Address - Country:US
Practice Address - Phone:503-681-1111
Practice Address - Fax:503-681-4066
Is Sole Proprietor?:Yes
Enumeration Date:2015-11-13
Last Update Date:2020-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMA057956363A00000X
ORPA192050363AS0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical
No363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant