Provider Demographics
NPI:1790802569
Name:SCHEMINSKE, REED JAY (LMT)
Entity Type:Individual
Prefix:MR
First Name:REED
Middle Name:JAY
Last Name:SCHEMINSKE
Suffix:
Gender:M
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3863 SW HALL BLVD
Mailing Address - Street 2:SUITE B
Mailing Address - City:BEAVERTON
Mailing Address - State:OR
Mailing Address - Zip Code:97005-2049
Mailing Address - Country:US
Mailing Address - Phone:503-626-4242
Mailing Address - Fax:503-626-4242
Practice Address - Street 1:3863 SW HALL BLVD
Practice Address - Street 2:SUITE B
Practice Address - City:BEAVERTON
Practice Address - State:OR
Practice Address - Zip Code:97005-2049
Practice Address - Country:US
Practice Address - Phone:503-626-4242
Practice Address - Fax:503-626-4242
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR7099225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist