Provider Demographics
NPI:1336214345
Name:SCHNEIDER, VICTORIA LENI
Entity Type:Individual
Prefix:MS
First Name:VICTORIA
Middle Name:LENI
Last Name:SCHNEIDER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:260 EAST 15TH
Mailing Address - Street 2:SUITE F
Mailing Address - City:EUGENE
Mailing Address - State:OR
Mailing Address - Zip Code:97401
Mailing Address - Country:US
Mailing Address - Phone:541-434-8406
Mailing Address - Fax:541-434-8406
Practice Address - Street 1:260 EAST 15TH
Practice Address - Street 2:SUITE F
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97401
Practice Address - Country:US
Practice Address - Phone:541-434-8406
Practice Address - Fax:541-434-8406
Is Sole Proprietor?:No
Enumeration Date:2006-11-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR978214225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR133264Medicare ID - Type Unspecified