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
1	207R00000X	Internal Medicine Physician	MD06841	OR
2	207R00000X	Internal Medicine Physician	AV15GOB32	DC

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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