Individual
MRS. DANA LEE VANTASSEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
2614 ALMOND ST, KLAMATH FALLS, OR 97601-1117
(541) 885-2201
(541) 883-1400
Mailing address
2614 ALMOND ST, KLAMATH FALLS, OR 97601-1117
(541) 885-2201
(541) 883-1400
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
201050199NP
OR
207RS0012X
Sleep Medicine (Internal Medicine) Physician
201050199NP
OR
363LF0000X
Family Nurse Practitioner
Primary
201050199NP
OR
Other
Enumeration date
11/02/2010
Last updated
10/16/2012
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