Provider Demographics
NPI:1679774723
Name:HILLSBORO GASTROENTEROLOGY PC
Entity type:Organization
Organization Name:HILLSBORO GASTROENTEROLOGY PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:A
Authorized Official - Last Name:SCHAER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:503-640-1614
Mailing Address - Street 1:232 SE 7TH AVE
Mailing Address - Street 2:
Mailing Address - City:HILLSBORO
Mailing Address - State:OR
Mailing Address - Zip Code:97123-4133
Mailing Address - Country:US
Mailing Address - Phone:503-640-1614
Mailing Address - Fax:503-681-0925
Practice Address - Street 1:232 SE 7TH AVE
Practice Address - Street 2:
Practice Address - City:HILLSBORO
Practice Address - State:OR
Practice Address - Zip Code:97123-4133
Practice Address - Country:US
Practice Address - Phone:503-640-1614
Practice Address - Fax:503-681-0925
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-29
Last Update Date:2010-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
ORR0000WCKJBMedicare ID - Type Unspecified