Provider Demographics
NPI:1972861771
Name:SCHMECK, WALTER ERNEST II (LMT)
Entity Type:Individual
Prefix:MR
First Name:WALTER
Middle Name:ERNEST
Last Name:SCHMECK
Suffix:II
Gender:M
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:676 SE 68TH AVE
Mailing Address - Street 2:
Mailing Address - City:HILLSBORO
Mailing Address - State:OR
Mailing Address - Zip Code:97123-3629
Mailing Address - Country:US
Mailing Address - Phone:503-459-6191
Mailing Address - Fax:
Practice Address - Street 1:676 SE 68TH AVE
Practice Address - Street 2:
Practice Address - City:HILLSBORO
Practice Address - State:OR
Practice Address - Zip Code:97123-3629
Practice Address - Country:US
Practice Address - Phone:503-459-6191
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-30
Last Update Date:2012-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR17590172M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172M00000XOther Service ProvidersMechanotherapist