Wattenburg, Eric J

Wattenburg, Eric J is an individual health care provider with primary practice located at 3818 Sw 21St St , Redmond OR 97756. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Wattenburg, Eric J can be contacted via phone (541) 548-2899.

Contact Information

Primary practice address
3818 Sw 21St St Redmond OR 97756
Phone: (541) 548-2899
Fax: (541) 504-3781
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X MD29323 Oregon
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X A78764 California
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD29323 Oregon

Profile Details

NPI number 1194791640
LBN Legal business name Wattenburg, Eric J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 24th, 2006
Last updated Jan 16th, 2022 - about 3 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 1194791640 NPPES
Oregon Other 00887743 MEDICARE RAILROAD
Oregon MEDICAID 500608820 MEDICARE RAILROAD
Oregon MEDICAID OOA787640 MEDICARE RAILROAD

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