Individual
GARRET SETH ZALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3377 RIVERBEND DR, PEDIATRIC SURGERY, SPRINGFIELD, OR 97477-8803
(541) 222-6135
(541) 222-6134
Mailing address
1115 SE 164TH AVE DEPT 358, VANCOUVER, WA 98683-8004
(541) 222-6135
(541) 222-6134
Taxonomy
Speciality
Code
Description
License number
State
2086S0120X
Pediatric Surgery Physician
Primary
MD25298
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
233404
—
OR
Enumeration date
07/31/2006
Last updated
03/03/2016
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