STEVEN C VANDER WAAL

Dr STEVEN C VANDER WAAL is a male medical professional, specializing in Internal Medicine. He graduated in 1976 from University Of Iowa College Of Medicine.

Contact

3619 HWY 101 N
PACIFIC MEDICAL AND SURGICAL GROUP
GEARHART
OR
971384321

Tel: 5037383832

STEVEN C VANDER WAAL Information

Npi 1023190220
Pac Id 7810030541
Professional Enrollment Id I20100203000744
Last Name VANDER WAAL
First Name STEVEN
Middle Name C
Suffix
Gender M
Credential
Medical School Name UNIVERSITY OF IOWA COLLEGE OF MEDICINE
Graduation Year 1976
Primary Specialty INTERNAL MEDICINE
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name
Group Practice Pac Id
Number Of Group Practice Members
Line 1 Street Address 3619 HWY 101 N
Line 2 Street Address PACIFIC MEDICAL AND SURGICAL GROUP
Marker Of Address Line 2 Suppression
City GEARHART
State OR
Zip Code 971384321
Phone Number 5037383832
Hospital Affiliation Ccn 1 381303
Hospital Affiliation Lbn 1 PROVIDENCE SEASIDE HOSPITAL
Hospital Affiliation Ccn 2 380061
Hospital Affiliation Lbn 2 PROVIDENCE PORTLAND MEDICAL CENTER
Hospital Affiliation Ccn 3 381320
Hospital Affiliation Lbn 3 COLUMBIA MEMORIAL HOSPITAL
Hospital Affiliation Ccn 4 501314
Hospital Affiliation Lbn 4 OCEAN BEACH HOSPITAL
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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