DR. MD Jack Vining, NPI 1922041920
Emergency Medicine Physician in Mcminnville, OR, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1922041920
NPI Entity Type Individual
Provider Name DR. MD Jack Vining
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 2700 Se Stratus Ave, Mcminnville, OR, US
Provider Mailing Address Po Box 2065, Seattle, WA, US, 981112065
Is Sole Proprietor? No
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Primary Taxonomy

Taxonomy Code

207P00000X

Taxonomy Name Emergency Medicine Physician
Classification

Emergency Medicine

Group

Allopathic & Osteopathic Physicians

License No. MD12819
License State OR
Description An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Business Address

DR. MD Jack Vining
2700 Se Stratus Ave

Mcminnville, OR, US

Phone: 503-472-6131

Mailing Address

DR. MD Jack Vining
Po Box 2065
Seattle, WA, US
ZIP 981112065
Phone: 888-828-3195

Secondary Taxonomies

Taxonomy Code Group Classification License No. State Primary?

207R00000X

Allopathic & Osteopathic Physicians

Internal Medicine

MD12819 OR No

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
8378382 WA MEDICAID 05
JM9451 PACC 01
97128A002 CHAMPUS 01
D86802 PROVIDENCE 01
0190386 WA L & I 01
261156 OR MEDICAID 05
D86802 GROUP HEALTH 01
XPY185640 CA MEDICAID 05
P00333023 RAILROAD MEDICARE 01

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1558919068

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Organization

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Karyssa Ann Endecott

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1942925318

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Nicolle Asencio

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Organization

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PA-C Sara J Wright

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Portland, OR

1467937276

LCSW Victoria Harris

Individual

Counselor

2650 Suzanne Way Ste 120

Eugene, OR

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