institution
Edward L Van Tassel Do Pc
Specialist in Klamath Falls, Oregon
NPI 1578783189

Edward L Van Tassel Do Pc is a Specialist based in Klamath Falls, OR. Edward L Van Tassel Do Pc practices in Klamath Falls, OR. The NPI Number for Edward L Van Tassel Do Pc is 1578783189 and holds a License No. DO25890 (Oregon).

The current practice location address for Edward L Van Tassel Do Pc is 2200 Bryant Williams Dr, Klamath Falls, OR and can be reached out via phone at 541-884-7746 and via fax at 541-274-5705. You can also correspond with Edward L Van Tassel Do Pc through the mailing address at 2200 BRYANT WILLIAMS DR, KLAMATH FALLS, OR - 97601-1121 (mailing address contact number: 541-884-7746).

Location: 2200 Bryant Williams Dr, Klamath Falls, OR, 97601-1121
institution
Provider Profile Details
NPI Number
1578783189
Provider Name
Edward L Van Tassel Do Pc
Credential
Provider Entity Type
Organization
Address
2200 Bryant Williams Dr, Klamath Falls, OR, 97601-1121
Phone Number
541-884-7746
Fax Number
541-274-5705
Provider Enumeration Date
04/26/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
820591000 01 OR BLUE CROSS
213618 05 OR
DG1609 01 OR RAIL ROAD MEDICARE
XPY145960 01 CA MEDICAL
institution
Provider Business Practice Location Address Details
Address
2200 Bryant Williams Dr
City
State
Zip
97601-1121
Phone Number
541-884-7746
Fax Number
541-274-5705
person
Provider Business Mailing Address Details
Address
2200 Bryant Williams Dr
City
State
Zip
97601-1121
Phone Number
541-884-7746
Fax Number
541-274-5705
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
DO25890 (Oregon)
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.
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