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Briana Schulzetenberg

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers

3181 SW Sam Jackson Park Rd, Portland, OR 97239-3011

PECOS Enrollment

Based on the most recent information from CMS, provider Briana Schulzetenberg is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 3 days ago.

Profile Details

Provider ID
1609599612
Provider Type
Individual
Full Name
Schulzetenberg, Briana
Credential
PA

Gender
Female
Sole Proprietor
No
Enumeration Date
9/23/2022
Last Updated
8/23/2023

Contact Information

Practice Location

3181 SW Sam Jackson Park Rd, Portland, OR 97239-3011

(503) 494-3273

(503) 418-2208

Mailing Location

3181 SW Sam Jackson Park Rd, Portland, OR 97239-3011

(503) 494-3273

(503) 418-2208

Provider Taxonomies

Code	Description	License
Code 363AM0700X Primary	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License PA214501 Oregon
Code 363A00000X	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License Unlisted Issuer

Briana Schulzetenberg

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Weis, Nicole

Bianchi, Jillian

Keranen, Katharine J

Hartmann, Kerith J

Atwood, Ashley

Wood, Ann Margaret

Hutchins, Abbie Jo

Skolnik, Kevin

Wheeler, Stacey Ann

Owens, Gabriel P