Provider Demographics
NPI:1457408189
Name:ZSCHAU, PATRICIA ELIZABETH (LAC)
Entity Type:Individual
Prefix:MS
First Name:PATRICIA
Middle Name:ELIZABETH
Last Name:ZSCHAU
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:ATTY
Other - Middle Name:
Other - Last Name:ZSCHAU
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:4821 NE 29TH AVE
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97211-6358
Mailing Address - Country:US
Mailing Address - Phone:503-753-3503
Mailing Address - Fax:
Practice Address - Street 1:1611 NE 16TH AVE
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97232-1413
Practice Address - Country:US
Practice Address - Phone:503-753-3503
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-04
Last Update Date:2017-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORAC00412171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist