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NPI Code Detail

MEDICARE: ROBERT VANNARATH

MEDICARE: ROBERT VANNARATH
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
1175T00000XPeer Specialist

General Provider Information

NPI Number : 1952253668
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROBERT VANNARATH
Provider Business Mailing Address
First Line : 2530 RECLAMATION AVE
Second Line :
City : KLAMATH FALLS
State : OR
Zip : 97601-3560
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1803 MAIN ST
Second Line :
City : KLAMATH FALLS
State : OR
Zip : 97601-2636
Country : US
Telephone Number : 541-331-3070
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/13/2026
Last Update Date : 02/13/2026

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Directions to “ ROBERT VANNARATH ” Practice Location

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