Provider Demographics
NPI:1770561631
Name:SCHINK, ANDREW CHESTER (DPM)
Entity type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:CHESTER
Last Name:SCHINK
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:1680 CHAMBERS ST
Mailing Address - Street 2:SUITE 201
Mailing Address - City:EUGENE
Mailing Address - State:OR
Mailing Address - Zip Code:97402-3655
Mailing Address - Country:US
Mailing Address - Phone:541-683-3351
Mailing Address - Fax:541-683-6440
Practice Address - Street 1:1680 CHAMBERS ST
Practice Address - Street 2:SUITE 201
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97402-3655
Practice Address - Country:US
Practice Address - Phone:541-683-3351
Practice Address - Fax:541-683-6440
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-02
Last Update Date:2010-05-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
ORDP00122213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR058685Medicaid
ORT-68101Medicare UPIN
OR058685Medicaid