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NPI Code Detail

MEDICARE: JAMES ALAN VANDERSLOOT DO

MEDICARE: JAMES ALAN VANDERSLOOT DO
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
1207V00000XObstetrics & Gynecology PhysicianOP00001762WA

General Provider Information

NPI Number : 1275518136
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAMES ALAN VANDERSLOOT DO
Provider Business Mailing Address
First Line : 714 W PINE ST
Second Line :
City : NEWPORT
State : WA
Zip : 99156-9046
Country : US
Telephone Number : 509-447-3139
Fax Number : 509-897-8597
Provider Business Practice Location Address
First Line : 714 W PINE ST BLDG C
Second Line :
City : NEWPORT
State : WA
Zip : 99156-9046
Country : US
Telephone Number : 509-447-3139
Fax Number : 509-897-8597
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/13/2005
Last Update Date : 12/29/2025

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Directions to “ JAMES ALAN VANDERSLOOT DO” Practice Location

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