Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. STEVEN CRAIG VANDER WAAL, M.D.
Active Sole ProprietorDR. STEVEN CRAIG VANDER WAAL, M.D. is a Medical Specialty Clinic healthcare provider located in GEARHART, Oregon. NPI 1023190220 is currently active in the NPPES registry. Verify at CMS.
Medical Specialty Clinic · GEARHART, OR
Registration Details
- NPI Number
- 1023190220
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 19, 2006 (19.853180605307 yrs)
- Last Updated
- May 23, 2014
- Licenses
-
13959 (OR)13959 (OR)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3619 HIGHWAY 101 NGEARHART, OR, 971384321Browse OR providers · Browse ZIP 97138
- Phone
- 5037383832
- Fax
- 5037383466
- Primary Specialty
-
Medical Specialty Clinic
261QM2500X
- Additional Specialty
- Primary Care Clinic
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.