Jacob Vanderstarre
Emergency Physician
890 Oak St Se Bldg A
Salem
, Oregon 97301
Jacob Vanderstarre
Emergency Physician
890 Oak St Se Bldg A
Salem
, Oregon 97301
(855) 691-9890
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About
Features
Specialties
- Emergency Physician
Languages spoken
- English
Location
First Address
- Jacob Vanderstarre
- 890 Oak St Se Bldg A
- Salem, OR
- Zip : 97301-3905
- Phone : (855) 691-9890
Second Address
- Jacob Vanderstarre
- 890 Oak St Se Bldg A
- Salem, OR
- Zip : 97301
- Phone : (855) 691-9890
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In what state does Jacob Vanderstarre practice in?
Where is Jacob Vanderstarre ’s practice located?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207P00000X | Emergency Physician | 4301109907 | MI |
| Y | 207P00000X | Emergency Physician | MD191574 | OR |
National Provider Identifier
| NPI | 1003267782 |
|---|---|
| Provider Name | Jacob Vanderstarre |
| First Address | Salem, OR 97301-3905 |
| Second Address | Salem, OR 97301 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 24/06/2016 |
| Last Update Date | 21/06/2019 |
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.