Individual provider · Type 1 NPI
J K. Van Etten
Emergency Medical Services (Emergency Medicine) Physician · Cleveland, OH
Practice location
2500 Metrohealth Dr
Cleveland, OH 44109-1900
Mailing address
3640 NE Sitka Dr
Camas, WA 98607-7473
Other practice locations
- 400 NE Mother Joseph Pl, Vancouver, WA 98664-3200 · (360) 514-2142
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Emergency Medical Services (Emergency Medicine) Physician Primary | 207PE0004X | MD61136032 (WA) |
| Student in an Organized Health Care Education/Training Program | 390200000X | None listed |
Emergency Medical Services (Emergency Medicine) Physician: An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients.
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About NPI 1114421344
J K. Van Etten's National Provider Identifier is 1114421344, issued on Mar 21, 2018. The primary taxonomy on file is Emergency Medical Services (Emergency Medicine) Physician (207PE0004X), and the practice location is in Cleveland, OH. The record was last updated on Dec 21, 2021.