MEDICARE: DR. DAVID OEHLING 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	2086S0129X	Vascular Surgery Physician	MD07785	OR

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1700883956
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DAVID OEHLING M.D.

Provider Business Mailing Address
First Line	:	1600 NW 6TH ST
Second Line	:
City	:	GRANTS PASS
State	:	OR
Zip	:	97526-1094
Country	:	US
Telephone Number	:	541-474-5533
Fax Number	:	541-476-2380

Provider Business Practice Location Address
First Line	:	1600 NW 6TH ST
Second Line	:
City	:	GRANTS PASS
State	:	OR
Zip	:	97526-1094
Country	:	US
Telephone Number	:	541-474-5533
Fax Number	:	541-476-2380

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/01/2005
Last Update Date	:	10/17/2012

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Directions to “ DR. DAVID OEHLING M.D.” Practice Location

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