Provider Demographics
NPI:1831787241
Name:SCHJOLIN, SHERIE
Entity type:Individual
Prefix:
First Name:SHERIE
Middle Name:
Last Name:SCHJOLIN
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 1:4675 GOODPASTURE LOOP APT 80
Mailing Address - Street 2:
Mailing Address - City:EUGENE
Mailing Address - State:OR
Mailing Address - Zip Code:97401-1574
Mailing Address - Country:US
Mailing Address - Phone:248-259-9387
Mailing Address - Fax:
Practice Address - Street 1:4675 GOODPASTURE LOOP APT 80
Practice Address - Street 2:
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97401-1574
Practice Address - Country:US
Practice Address - Phone:248-259-9387
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-03
Last Update Date:2021-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty