Healthcare Provider Details

I. General information

NPI: 1689077208
Provider Name (Legal Business Name): STUART HELFAND D.V.M.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/28/2014
Last Update Date: 09/28/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

105 MAGRUDER HALL OREGON STATE UNIVERSITY
CORVALLIS OR
97331-8555
US

IV. Provider business mailing address

105 MAGRUDER HALL OREGON STATE UNIVERSITY
CORVALLIS OR
97331-8555
US

V. Phone/Fax

Practice location:
  • Phone: 541-737-6868
  • Fax: 541-737-6879
Mailing address:
  • Phone: 541-737-6868
  • Fax: 541-737-6879

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174M00000X
TaxonomyVeterinarian
License Number6704
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code174M00000X
TaxonomyVeterinarian
License Number901
License Number StateMT
# 3
Primary TaxonomyN
Taxonomy Code174M00000X
TaxonomyVeterinarian
License Number12714
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: