Provider Demographics
NPI:1700858131
Name:SCHAAF, KAREN G (MD)
Entity Type:Individual
Prefix:DR
First Name:KAREN
Middle Name:G
Last Name:SCHAAF
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:36 KLONDIKE RD
Mailing Address - Street 2:
Mailing Address - City:REPUBLIC
Mailing Address - State:WA
Mailing Address - Zip Code:99166-9701
Mailing Address - Country:US
Mailing Address - Phone:509-775-3153
Mailing Address - Fax:509-775-8929
Practice Address - Street 1:9 KETTLE RIVER ROAD
Practice Address - Street 2:
Practice Address - City:CURLEW
Practice Address - State:WA
Practice Address - Zip Code:99118-9680
Practice Address - Country:US
Practice Address - Phone:509-779-4049
Practice Address - Fax:509-779-4004
Is Sole Proprietor?:No
Enumeration Date:2006-02-01
Last Update Date:2011-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD00024938207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA8115099Medicaid
A06691Medicare UPIN
WA000342201Medicare ID - Type Unspecified