Provider Demographics
NPI:1912118993
Name:SCHMITT, CHUCK (LMFT)
Entity Type:Individual
Prefix:
First Name:CHUCK
Middle Name:
Last Name:SCHMITT
Suffix:
Gender:M
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1453 NE ORENCO STATION PKWY
Mailing Address - Street 2:
Mailing Address - City:HILLSBORO
Mailing Address - State:OR
Mailing Address - Zip Code:97124-5074
Mailing Address - Country:US
Mailing Address - Phone:503-648-4884
Mailing Address - Fax:
Practice Address - Street 1:1453 NE ORENCO STATION PKWY
Practice Address - Street 2:
Practice Address - City:HILLSBORO
Practice Address - State:OR
Practice Address - Zip Code:97124-5074
Practice Address - Country:US
Practice Address - Phone:503-648-4884
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORTO468106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist