Vandergriend, Orville Keith
Vandergriend, Orville Keith is an individual health care provider with primary practice located at 3104 Squalicum Pkwy Suite 101, Bellingham WA 98225-1941. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Vandergriend, Orville Keith can be contacted via phone (360) 733-2557.Contact Information
Primary practice address
3104 Squalicum Pkwy Suite 101
Bellingham WA 98225-1941
Phone: (360) 733-2557
Fax: (360) 733-4674
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 10361 | Washington |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | MD00010361 | Washington |
Profile Details
| NPI number | 1073662508 |
|---|---|
| LBN Legal business name | Vandergriend, Orville Keith |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 10th, 2007 |
| Last updated | Jan 24th, 2013 - about 13 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 | 1073662508 | NPPES |
| Washington | MEDICAID | 1069509 | |
| Washington | MEDICAID | 1073662508 | |
| Washington | Other | 82107 | |
| Washington | Other | 0146VA |
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