Edward L Van Tassel Do Pc in Klamath Falls - Specialist
Edward L Van Tassel Do Pc - NPI 1578783189
Edward L Van Tassel Do Pc is a Specialist in Klamath Falls, Oregon. Edward L Van Tassel Do Pc practices all healthcare services and medical treatments related to Specialist. The NPI Number for Edward L Van Tassel Do Pc is 1578783189. The last update date is 2023-03-07.
Edward L Van Tassel Do Pc's current location address is 2200 Bryant Williams Dr, Klamath Falls, Oregon. You can contact this provider via phone number 5418847746 and fax number 5412745705. The mailing address for Edward L Van Tassel Do Pc is 2200 Bryant Williams Dr, Klamath Falls, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Edward L Van Tassel Do Pc |
|---|---|
| Address | 2200 Bryant Williams Dr, Klamath Falls, Oregon |
| Phone Number | 5418847746 |
| Fax Number | 5412745705 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | EXECUTIVE |
|---|---|
| Authorized Official Name | Gansberg L Jeannette |
| Telephone Number | 5412742902 |
NPI Number Detail
| NPI Number | 1578783189 |
|---|---|
| Provider Enumeration Date | 2007-04-26 |
| Last Updated Date | 2023-03-07 |
Provider Mailing Address Detail
| Address | 2200 Bryant Williams Dr |
|---|---|
| City | Klamath Falls |
| State | Oregon (OR) |
| Post Code | 976011121 |
| Phone Number | 5418847746 |
| Fax Number | 5412745705 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | DO25890 |
|
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 820591000 | OR | BLUE CROSS | |
| 213618 | OR | -- | |
| DG1609 | OR | RAIL ROAD MEDICARE | |
| XPY145960 | CA | MEDICAL |
Post Comment/ Review Below
What is the unique identifier code issued to Edward L Van Tassel Do Pc by the Centers for Medicare & Medicaid Services (CMS)?
The Edward L Van Tassel Do Pc has been assigned the NPI (National Provider Identifier) 1578783189. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete address where Edward L Van Tassel Do Pc is physically located?
The Edward L Van Tassel Do Pc is situated at the following address: 2200 Bryant Williams Dr, Klamath Falls, OR 976011121.
What is Edward L Van Tassel Do Pc's area of expertise and its corresponding taxonomy classification?
The Edward L Van Tassel Do Pc's field of specialization is Specialist, and it falls under the taxonomy code 174400000X, which categorizes healthcare providers based on their areas of practice.
When did the Edward L Van Tassel Do Pc receive its 1578783189?
The Edward L Van Tassel Do Pc was issued its 1578783189 on 2007-04-26, which is the date when the organization was assigned this unique identifier.
As of what date was the information pertaining to Edward L Van Tassel Do Pc, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Edward L Van Tassel Do Pc, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2023-03-07.