Provider Demographics
NPI:1316183528
Name:STEVEN L. NEAL, MD, FACS, INC.
Entity Type:Organization
Organization Name:STEVEN L. NEAL, MD, FACS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:L
Authorized Official - Last Name:NEAL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:541-276-4160
Mailing Address - Street 1:702 SW DORION AVE
Mailing Address - Street 2:
Mailing Address - City:PENDLETON
Mailing Address - State:OR
Mailing Address - Zip Code:97801-2039
Mailing Address - Country:US
Mailing Address - Phone:541-276-4160
Mailing Address - Fax:541-276-2860
Practice Address - Street 1:702 SW DORION AVE
Practice Address - Street 2:
Practice Address - City:PENDLETON
Practice Address - State:OR
Practice Address - Zip Code:97801-2039
Practice Address - Country:US
Practice Address - Phone:541-276-4160
Practice Address - Fax:541-276-2860
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-18
Last Update Date:2008-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR15111207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR144998Medicaid
OR144998Medicaid
ORR0000BHWJZMedicare PIN