Steven Craig Vander Waal in Gearhart - Medical Specialty
Steven Craig Vander Waal - NPI 1023190220
Steven Craig Vander Waal is a Medical Specialty in Gearhart, Oregon. Steven Craig Vander Waal practices all healthcare services and medical treatments related to Medical Specialty. The NPI Number for Steven Craig Vander Waal is 1023190220. The last update date is 2014-05-23.
Steven Craig Vander Waal's current location address is 3619 Highway 101 N, Gearhart, Oregon. You can contact this provider via phone number 5037383832 and fax number 5037383466. The mailing address for Steven Craig Vander Waal is 3619 Highway 101 N, Gearhart, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Steven Craig Vander Waal |
|---|---|
| Address | 3619 Highway 101 N, Gearhart, Oregon |
| Phone Number | 5037383832 |
| Fax Number | 5037383466 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1023190220 |
|---|---|
| Provider Enumeration Date | 2006-10-19 |
| Last Updated Date | 2014-05-23 |
Provider Mailing Address Detail
| Address | 3619 Highway 101 N |
|---|---|
| City | Gearhart |
| State | Oregon (OR) |
| Post Code | 971384321 |
| Phone Number | 5037383832 |
| Fax Number | 5037383466 |
Provider's Primary Taxonomy Detail
| Speciality | Medical Specialty |
|---|---|
| Taxonomy | 261Qm2500X |
| Licence No | 13959 |
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Definition: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific |
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What is the unique identifier code issued to Steven Craig Vander Waal by the Centers for Medicare & Medicaid Services?
The Steven Craig Vander Waal has been assigned the NPI (National Provider Identifier) 1023190220. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Steven Craig Vander Waal is located?
The Steven Craig Vander Waal is situated at the following address: 3619 Highway 101 N, Gearhart, OR, 971384321.
What is the Steven Craig Vander Waal's area of specialization and corresponding taxonomy classification?
The Steven Craig Vander Waal's specialty field is Medical Specialty, and it falls under the taxonomy code 261Qm2500X, which categorizes healthcare providers based on their specialties.
When did the Steven Craig Vander Waal receive its 1023190220?
The Steven Craig Vander Waal was issued its 1023190220 on 2006-10-19, which is the date when the organization was assigned this unique identifier.
When was the information related to Steven Craig Vander Waal most recently updated or refreshed?
The details pertaining to the Steven Craig Vander Waal, including its address, specialty, and other relevant information, were last updated or refreshed on 2014-05-23.