Individual
EARL J VANVOLKINBURG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2478 13TH ST SE, SUITE 200, SALEM, OR 97302-2546
(503) 588-5892
(503) 485-0709
Mailing address
2478 13TH ST SE, SUITE 200, SALEM, OR 97302-2546
(503) 588-5892
(503) 485-0709
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
09149
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
207126
—
OR
Enumeration date
02/07/2006
Last updated
06/21/2011
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