Basic Information
| Provider Information | |||||||||
| NPI: | 1346887668 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | SCHROEDER | ||||||||
| FirstName: | HANNAH | ||||||||
| MiddleName: | N. | ||||||||
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| Credential: | RN, CNM | ||||||||
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| Mailing Information | |||||||||
| Address1: | 570 NICASIO WAY | ||||||||
| Address2: | |||||||||
| City: | SOQUEL | ||||||||
| State: | CA | ||||||||
| PostalCode: | 950739782 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6505752989 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 10180 SE SUNNYSIDE RD | ||||||||
| Address2: | |||||||||
| City: | CLACKAMAS | ||||||||
| State: | OR | ||||||||
| PostalCode: | 970158970 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5038132000 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 12/05/2019 | ||||||||
| LastUpdateDate: | 12/03/2020 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 12/03/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 163W00000X | 201809232RN | OR | N | Nursing Service Providers | Registered Nurse | 163W00000X | 95220696 | CA | N | Nursing Service Providers | Registered Nurse | 176B00000X | 236141 | CA | N | Other Service Providers | Midwife | 367A00000X | 236141 | CA | Y | Physician Assistants & Advanced Practice Nursing Providers | Advanced Practice Midwife |
No ID Information.