Provider Demographics
NPI:1508826744
Name:BERINSTEIN, TODD HARRY (MD)
Entity Type:Individual
Prefix:DR
First Name:TODD
Middle Name:HARRY
Last Name:BERINSTEIN
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 1:2121 NE 139TH ST #245
Mailing Address - Street 2:
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98686
Mailing Address - Country:US
Mailing Address - Phone:360-326-3966
Mailing Address - Fax:360-859-3807
Practice Address - Street 1:2121 NE 139TH ST #245
Practice Address - Street 2:
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98686
Practice Address - Country:US
Practice Address - Phone:360-326-3966
Practice Address - Fax:360-859-3807
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-23
Last Update Date:2023-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD00033729207Y00000X
ORMD20967207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR300151206OtherREGENCE BLUE CROSS HMOO
WA98683A005OtherTRIWEST
WA0114182OtherWA DEPT OF LABOR & INDUST
WA1100775Medicaid
OR011826006OtherREGENCE BLUE CROSS OF OR
WAG44940Medicare UPIN
WA98683A005OtherTRIWEST