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Dr. Steven Craig Vander Waal, MD
Primary Care Clinic/Center in Gearhart, Oregon
NPI 1023190220

Steven Craig Vander Waal is a Primary Care Clinic/Center based in Gearhart, OR and is specialized in Primary Care. Steven Craig Vander Waal practices in Gearhart, OR and has the professional credentials of MD. The NPI Number for Steven Craig Vander Waal is 1023190220 and holds a License No. 13959 (Oregon).

The current practice location address for Steven Craig Vander Waal is 3619 Highway 101 N, Gearhart, OR and can be reached out via phone at 503-738-3832 and via fax at 503-738-3466.

Location: 3619 Highway 101 N, Gearhart, OR, 97138-4321
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1023190220
Provider Name
Steven Craig Vander Waal
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
3619 Highway 101 N, Gearhart, OR, 97138-4321
Phone Number
503-738-3832
Fax Number
503-738-3466
Provider Enumeration Date
10/19/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
3619 Highway 101 N
City
Gearhart
State
Oregon
Zip
97138-4321
Phone Number
503-738-3832
Fax Number
503-738-3466
person
Provider Business Mailing Address Details
Address
3619 Highway 101 N
City
Gearhart
State
Oregon
Zip
97138-4321
Phone Number
503-738-3832
Fax Number
503-738-3466
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
261QM2500X
License No.
13959 (Oregon)
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 public health needs (e.g., infectious diseases or breast and cervical cancer).
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
261QP2300X
License No.
13959 (Oregon)
Definition
Definition to come...
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