Michael R Vanallen
Surgery of the Hand
19255 Sw 65th Ave Suite 210
Tualatin
, Oregon 97062-7451
Michael R Vanallen
Surgery of the Hand
19255 Sw 65th Ave Suite 210
Tualatin
, Oregon 97062-7451
(503) 612-0524
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About
Features
Specialties
- Surgery of the Hand
Languages spoken
- English
Location
First Address
- Michael R Vanallen
- 19255 Sw 65th Ave Suite 210
- Tualatin, OR
- Zip : 97062-7451
- Fax : (503) 612-0524
- Phone : (503) 692-8907
Second Address
- Michael R Vanallen
- 19255 Sw 65th Ave Suite 210
- Tualatin, OR
- Zip : 97062-7451
- Fax : (503) 612-0524
- Phone : (503) 692-8907
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2086S0105X | Surgery of the Hand | MD15401 | OR |
National Provider Identifier
| NPI | 1912906405 |
|---|---|
| Provider Name | Michael R Vanallen |
| First Address | Tualatin, OR 97062-7451 |
| Second Address | Tualatin, OR 97062-7451 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 18/07/2005 |
| Last Update Date | 20/08/2019 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 93-1209679 | MEDICARE (01) | OR |
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.