Healthcare Provider Details

I. General information

NPI: 1467413161
Provider Name (Legal Business Name): DEAN W STEELE MD
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 03/31/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

209 MAIN AVE S SUITE 115
NORTH BEND WA
98045-8139
US

IV. Provider business mailing address

PO BOX 2810
NORTH BEND WA
98045-2810
US

V. Phone/Fax

Practice location:
  • Phone: 425-831-0777
  • Fax: 425-831-0505
Mailing address:
  • Phone: 425-831-0777
  • Fax: 425-831-0505

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberMD00027545
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: