Provider Demographics
NPI:1952072316
Name:SCHINDLBECK, SARAH ANNE (PWS)
Entity Type:Individual
Prefix:MS
First Name:SARAH
Middle Name:ANNE
Last Name:SCHINDLBECK
Suffix:
Gender:F
Credentials:PWS
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:ANNE
Other - Last Name:SCHINDLBECK
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PWS
Mailing Address - Street 1:12049 HAZELDELL AVE
Mailing Address - Street 2:
Mailing Address - City:OREGON CITY
Mailing Address - State:OR
Mailing Address - Zip Code:97045-7117
Mailing Address - Country:US
Mailing Address - Phone:360-388-6701
Mailing Address - Fax:
Practice Address - Street 1:12049 HAZELDELL AVE
Practice Address - Street 2:
Practice Address - City:OREGON CITY
Practice Address - State:OR
Practice Address - Zip Code:97045-7117
Practice Address - Country:US
Practice Address - Phone:360-388-6701
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-09-24
Last Update Date:2021-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORTHW000105246175T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175T00000XOther Service ProvidersPeer Specialist