Provider Demographics
NPI:1720089022
Name:SCHONE, HILDEGARD AE (MD)
Entity Type:Individual
Prefix:DR
First Name:HILDEGARD
Middle Name:AE
Last Name:SCHONE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25500 SE STARK ST.
Mailing Address - Street 2:SUITE 102
Mailing Address - City:GRESHAM
Mailing Address - State:OR
Mailing Address - Zip Code:97030
Mailing Address - Country:US
Mailing Address - Phone:503-661-7107
Mailing Address - Fax:503-661-3011
Practice Address - Street 1:25500 SE STARK ST.
Practice Address - Street 2:SUITE 102
Practice Address - City:GRESHAM
Practice Address - State:OR
Practice Address - Zip Code:97030
Practice Address - Country:US
Practice Address - Phone:503-661-7107
Practice Address - Fax:503-661-3011
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-09
Last Update Date:2009-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR8493208000000X
ORMD08493208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics