DR. Steven Craig Vander Waal, M.D.

NPI #1023190220 in Gearhart, Oregon

Provider Information

NPI Number: 1023190220
Entity Type: Individual
Name: DR. Steven Craig Vander Waal, M.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Clinic/Center - Medical Specialty
Credential: M.D.
Enumeration Date: Oct 19, 2006
Last Updated: May 23, 2014

Practice Location

Address: 3619 HIGHWAY 101 N
City: Gearhart
State: Oregon
ZIP Code: 97138-4321
Phone: (503) 738-3832

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Medical Specialty — Medical Specialty	261QM2500X	Primary
Clinic/Center - Primary Care — Primary Care	261QP2300X

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