Provider Demographics
NPI:1003979105
Name:FRANK, HOWARD W JR (MD)
Entity Type:Individual
Prefix:
First Name:HOWARD
Middle Name:W
Last Name:FRANK
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:825 NW HIGHWAY 101
Mailing Address - Street 2:SUITE A
Mailing Address - City:LINCOLN CITY
Mailing Address - State:OR
Mailing Address - Zip Code:97367-3241
Mailing Address - Country:US
Mailing Address - Phone:541-996-7480
Mailing Address - Fax:541-557-6439
Practice Address - Street 1:825 NW HIGHWAY 101
Practice Address - Street 2:SUITE A
Practice Address - City:LINCOLN CITY
Practice Address - State:OR
Practice Address - Zip Code:97367-3241
Practice Address - Country:US
Practice Address - Phone:541-996-7480
Practice Address - Fax:541-557-6439
Is Sole Proprietor?:No
Enumeration Date:2006-12-19
Last Update Date:2016-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI42996207X00000X
ORMD167415207X00000X
WY4069A207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR500672217Medicaid
WI34054500Medicaid
WIE41293Medicare UPIN
WYW32629Medicare PIN
WI34054500Medicaid
OR500672217Medicaid
ORR175988Medicare PIN