Individual
EDWARD L VAN TASSEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2200 BRYANT WILLIAMS DRIVE, SUITE 1, KLAMATH FALLS, OR 97601-1120
(541) 884-7746
(541) 884-0848
Mailing address
2200 BRYANT WILLIAMS DRIVE, SUITE 1, KLAMATH FALLS, OR 97601-1120
(541) 884-7746
(541) 884-0848
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
DO25890
OR
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
DO25890
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20889454297601
TRICARE
OR
05
—
213618
—
OR
01
—
820591000
BLUE CROSS
OR
01
—
P00419803
RAIL ROAD MEDICARE
OR
01
—
P00464722
RAIL ROAD MEDICARE
OR
01
—
XPY145960
MEDI-CAL
CA
Enumeration date
07/25/2006
Last updated
03/07/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us