Individual
DR. STEVEN CRAIG VANDER WAAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3619 HIGHWAY 101 N, GEARHART, OR 97138-4321
(503) 738-3832
(503) 738-3466
Mailing address
3619 HIGHWAY 101 N, GEARHART, OR 97138-4321
(503) 738-3832
(503) 738-3466
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
13959
OR
261QP2300X
Primary Care Clinic/Center
13959
OR
Other
Enumeration date
10/19/2006
Last updated
05/23/2014
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