Provider Demographics
NPI:1154827004
Name:KEHAYA, ALICE SCHMIDT (MD)
Entity type:Individual
Prefix:DR
First Name:ALICE
Middle Name:SCHMIDT
Last Name:KEHAYA
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:ALICE
Other - Middle Name:ANN
Other - Last Name:SCHMIDT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3710 SW US VETERANS HOSPITAL RD # P3MED
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97239-2964
Mailing Address - Country:US
Mailing Address - Phone:032-208-2625
Mailing Address - Fax:503-721-7903
Practice Address - Street 1:3181 SW SAM JACKSON PARK RD
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97239-3098
Practice Address - Country:US
Practice Address - Phone:503-494-8211
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-03-31
Last Update Date:2025-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORMD206016207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine