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NPI Code Detail

MEDICARE: MR. PAUL ARTHUR VANUCHELEN M.D.

MEDICARE:  MR. PAUL ARTHUR VANUCHELEN  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine PhysicianMD06841OR
2207R00000XInternal Medicine PhysicianAV15GOB32DC

General Provider Information

NPI Number : 1336485226
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. PAUL ARTHUR VANUCHELEN M.D.
Provider Business Mailing Address
First Line : 3850 NW WESTSIDE RD
Second Line :
City : MCMINNVILLE
State : OR
Zip : 97128-8127
Country : US
Telephone Number : 503-472-2461
Fax Number :
Provider Business Practice Location Address
First Line : 3850 NW WESTSIDE RD
Second Line :
City : MCMINNVILLE
State : OR
Zip : 97128-8127
Country : US
Telephone Number : 503-472-2461
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/20/2012
Last Update Date : 12/21/2025

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Directions to “ MR. PAUL ARTHUR VANUCHELEN M.D.” Practice Location

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