Provider Demographics
NPI:1265522189
Name:SCHMIDT, DAVID FRANK (MD)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:FRANK
Last Name:SCHMIDT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1660 OAK ST SE
Mailing Address - Street 2:SALEM VA CLINIC
Mailing Address - City:SALEM
Mailing Address - State:OR
Mailing Address - Zip Code:97301-6942
Mailing Address - Country:US
Mailing Address - Phone:503-220-8262
Mailing Address - Fax:503-316-9037
Practice Address - Street 1:1660 OAK ST SE
Practice Address - Street 2:SALEM VA CLINIC
Practice Address - City:SALEM
Practice Address - State:OR
Practice Address - Zip Code:97301-6942
Practice Address - Country:US
Practice Address - Phone:503-220-8262
Practice Address - Fax:503-316-9037
Is Sole Proprietor?:No
Enumeration Date:2006-10-13
Last Update Date:2007-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORMD19978207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine