Edward L Van Tassel
Orthopaedic Surgeon Sports Medicine Orthopaedic Surgeon
2200 Bryant Williams Drive Suite 1
Klamath Falls
, Oregon 97601-1120
Edward L Van Tassel
Orthopaedic Surgeon Sports Medicine Orthopaedic Surgeon
2200 Bryant Williams Drive Suite 1
Klamath Falls
, Oregon 97601-1120
(541) 884-0848
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About
Features
Specialties
- Orthopaedic Surgeon
- Sports Medicine Orthopaedic Surgeon
Languages spoken
- English
Location
First Address
- Edward L Van Tassel
- 2200 Bryant Williams Drive Suite 1
- Klamath Falls, OR
- Zip : 97601-1120
- Fax : (541) 884-0848
- Phone : (541) 884-7746
Second Address
- Edward L Van Tassel
- 2200 Bryant Williams Drive Suite 1
- Klamath Falls, OR
- Zip : 97601-1120
- Fax : (541) 884-0848
- Phone : (541) 884-7746
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgeon | DO25890 | OR |
| N | 207XX0005X | Sports Medicine Orthopaedic Surgeon | DO25890 | OR |
National Provider Identifier
| NPI | 1093737199 |
|---|---|
| Provider Name | Edward L Van Tassel |
| First Address | Klamath Falls, OR 97601-1120 |
| Second Address | Klamath Falls, OR 97601-1120 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 25/07/2006 |
| Last Update Date | 05/11/2014 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 20889454297601 | TRICARE (01) | OR |
| 213618 | (05) | OR |
| 820591000 | BLUE CROSS (01) | OR |
| BV1150438 | DEA (01) | OR |
| D72429 | (02) | OR |
| P00419803 | RAIL ROAD MEDICARE (01) | OR |
| P00464722 | RAIL ROAD MEDICARE (01) | OR |
| XPY145960 | MEDI-CAL (01) | CA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.