MEDICARE: DR. NATHANIEL E. UECKER MD

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	208600000X	Surgery Physician	55827	WI
2	208600000X	Surgery Physician	103907	MN
3	208600000X	Surgery Physician	MD208908	OR

General Provider Information

NPI Number	:	1942466420
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NATHANIEL E. UECKER MD

Provider Business Mailing Address
First Line	:	PO BOX 1189
Second Line	:
City	:	CORVALLIS
State	:	OR
Zip	:	97339-1189
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	930 SW ABBEY ST STE A
Second Line	:
City	:	NEWPORT
State	:	OR
Zip	:	97365-4820
Country	:	US
Telephone Number	:	541-265-8816
Fax Number	:

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

Provider Enumeration Date	:	08/04/2008
Last Update Date	:	01/05/2026

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