Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Y00000X | Otolaryngologist (ENT Doctor) | DO197280 | OR |
N | 207YS0123X | Facial Plastic Surgeon | 5101021665 | MI |
N | 207YS0123X | Facial Plastic Surgeon | DO197280 | OR |
NPI | 1245612589 |
---|---|
Provider Name | Steven K Pinther |
First Address | La Grande, OR 97850-7290 |
Second Address | La Grande, OR 97850-1200 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 23/06/2015 |
Last Update Date | 05/05/2020 |