Provider Demographics
NPI:1861455800
Name:SCHMIDLEY, MARGARET (MD)
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:
Last Name:SCHMIDLEY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2720 E MADISON ST
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98112-4739
Mailing Address - Country:US
Mailing Address - Phone:206-720-2309
Mailing Address - Fax:206-720-2329
Practice Address - Street 1:2720 E MADISON ST
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98112-4739
Practice Address - Country:US
Practice Address - Phone:206-720-2309
Practice Address - Fax:206-720-2329
Is Sole Proprietor?:No
Enumeration Date:2006-04-10
Last Update Date:2008-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPT00003293225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA8364655Medicaid
WA4674SCOtherBLUE SHIELD #
WAUS1051993OtherUS SPECIALIST PIN