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:
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Health care specialties

SpecialtyCodeLicense #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 12 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073662508 NPPES
Washington MEDICAID 1069509
Washington MEDICAID 1073662508
Washington Other 82107
Washington Other 0146VA

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