Healthcare Provider Details

I. General information

NPI: 1861543647
Provider Name (Legal Business Name): STEVEN L NEAL MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/16/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1514 SE COURT AVE
PENDLETON OR
97801
US

IV. Provider business mailing address

1514 SE COURT AVE
PENDLETON OR
97801
US

V. Phone/Fax

Practice location:
  • Phone: 541-276-4160
  • Fax: 541-276-2860
Mailing address:
  • Phone: 541-276-4160
  • Fax: 541-276-2860

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License Number15111
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: