Provider Demographics
NPI:1659037331
Name:SCHAEFER, CORA J (DPT)
Entity Type:Individual
Prefix:
First Name:CORA
Middle Name:J
Last Name:SCHAEFER
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18500 SW HOLZNAGEL RD
Mailing Address - Street 2:
Mailing Address - City:SHERWOOD
Mailing Address - State:OR
Mailing Address - Zip Code:97140-8716
Mailing Address - Country:US
Mailing Address - Phone:541-913-9408
Mailing Address - Fax:
Practice Address - Street 1:18500 SW HOLZNAGEL RD
Practice Address - Street 2:
Practice Address - City:SHERWOOD
Practice Address - State:OR
Practice Address - Zip Code:97140-8716
Practice Address - Country:US
Practice Address - Phone:541-913-9408
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-11-16
Last Update Date:2021-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist