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Individual

DONALD J VENES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2821 DAGGETT AVE STE 200, KLAMATH FALLS, OR 97601-1130
(541) 274-8400
(541) 469-9204
Mailing address
2865 DAGGETT AVE, KLAMATH FALLS, OR 97601-1106
(541) 274-8400
(541) 274-8405

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
G83774
CA
207R00000X
Internal Medicine Physician
Primary
MD16232
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
010988
OR
Enumeration date
08/02/2006
Last updated
02/16/2021
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