Van Houten, Grant Chris
Van Houten, Grant Chris is an individual health care provider with primary practice located at 73265 Confederated Way , Pendleton OR 97801. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Van Houten, Grant Chris can be contacted via phone (541) 966-9830.Contact Information
Primary practice address
73265 Confederated Way
Pendleton OR 97801
Phone: (541) 966-9830
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MD09065 | Oregon |
Profile Details
| NPI number | 1114954518 |
|---|---|
| LBN Legal business name | Van Houten, Grant Chris |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 28th, 2006 |
| 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 | 1114954518 | NPPES |
| Oregon | MEDICAID | 171037 |
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