Individual provider · Type 1 NPI
Steven Craig Vander Waal, MD
Medical Specialty Clinic/Center · Gearhart, OR
Practice location
3619 Highway 101 N
Gearhart, OR 97138-4321
Fax (503) 738-3466
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Specialty Clinic/Center Primary | 261QM2500X | 13959 (OR) |
| Primary Care Clinic/Center | 261QP2300X | 13959 (OR) |
Medical Specialty Clinic/Center: 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).
2 other providers at this address
About NPI 1023190220
Steven Craig Vander Waal, MD's National Provider Identifier is 1023190220, issued on Oct 19, 2006. The primary taxonomy on file is Medical Specialty Clinic/Center (261QM2500X), and the practice location is in Gearhart, OR. The record was last updated on May 23, 2014.