Dehaan, Raymond Keith
Dehaan, Raymond Keith is an individual health care provider with primary practice located at 310 Stillwell Ave , Tillamook OR 97141-2119. He recently has 3 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Corneal and Contact Management, Eye and Vision Services Providers / Pediatrics. Eye and Vision Services Providers / Optometrist is his primary health care specialty. Dehaan, Raymond Keith can be contacted via phone (503) 842-6363.Contact Information
Primary practice address
310 Stillwell Ave
Tillamook OR 97141-2119
Phone: (503) 842-6363
Fax: (503) 842-6204
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 2858T | Oregon |
| Eye and Vision Services Providers / Corneal and Contact Management | 152WC0802X | 2858T | Oregon |
| Eye and Vision Services Providers / Pediatrics | 152WP0200X | 2858T | Oregon |
Profile Details
| NPI number | 1639221690 |
|---|---|
| LBN Legal business name | Dehaan, Raymond Keith |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 18th, 2007 |
| Last updated | Jul 9th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1639221690 | NPPES |
| Oregon | MEDICAID | 182761 | |
| Oregon | MEDICAID | 182762 |
Popular Providers
-
Pitts, Todd A
980 3Rd St Suite 200, Tillamook OR 97141-9469 -
Craft, Christopher Lewis
801 Pacific Ave , Tillamook OR 97141-3926 -
Meier, Benius Karl
980 3Rd St Suite 200, Tillamook OR 97141-9469 -
Hestmark, Brett Jess
1115 Main Ave , Tillamook OR 97141-3819 -
Torres, Debra M
906 Main Ave , Tillamook OR 97141-3816 -
Bradburn, David Arthur
980 3Rd St Suite 200, Tillamook OR 97141-9469 -
Michel, Beatrice H
800 Main Ave Suite A, Tillamook OR 97141-3814 -
Halperin, Eric
800 Main Ave Suite A, Tillamook OR 97141-3760