Individual
MR. FREDERICK GEORGE FIELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1810 E 19TH ST STE 225, THE DALLES, OR 97058-3388
(541) 296-6101
(541) 296-3741
Mailing address
1810 E 19TH ST STE 225, THE DALLES, OR 97058-3388
(541) 296-6101
(541) 296-3741
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD26105
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005861
—
OR
05
—
1122647
—
WA
Enumeration date
01/18/2006
Last updated
01/08/2008
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