Provider Demographics
NPI:1467413161
Name:STEELE, DEAN W (MD)
Entity Type:Individual
Prefix:DR
First Name:DEAN
Middle Name:W
Last Name:STEELE
Suffix:
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:PO BOX 2810
Mailing Address - Street 2:
Mailing Address - City:NORTH BEND
Mailing Address - State:WA
Mailing Address - Zip Code:98045-2810
Mailing Address - Country:US
Mailing Address - Phone:425-831-0777
Mailing Address - Fax:425-831-0505
Practice Address - Street 1:209 MAIN AVE S
Practice Address - Street 2:SUITE 115
Practice Address - City:NORTH BEND
Practice Address - State:WA
Practice Address - Zip Code:98045-8139
Practice Address - Country:US
Practice Address - Phone:425-831-0777
Practice Address - Fax:425-831-0505
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD00027545207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA1118496Medicaid
WA0172266OtherL&I
WA1118496Medicaid
WA0172266OtherL&I