Provider Demographics
NPI:1558766121
Name:ANIMAL CLINIC
Entity Type:Organization
Organization Name:ANIMAL CLINIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VETERINARIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:L
Authorized Official - Last Name:HIETT
Authorized Official - Suffix:
Authorized Official - Credentials:DVM
Authorized Official - Phone:541-451-1319
Mailing Address - Street 1:185 N SANTIAM HWY
Mailing Address - Street 2:
Mailing Address - City:LEBANON
Mailing Address - State:OR
Mailing Address - Zip Code:97355-4342
Mailing Address - Country:US
Mailing Address - Phone:541-451-1319
Mailing Address - Fax:541-451-1028
Practice Address - Street 1:185 N SANTIAM HWY
Practice Address - Street 2:
Practice Address - City:LEBANON
Practice Address - State:OR
Practice Address - Zip Code:97355-4342
Practice Address - Country:US
Practice Address - Phone:541-451-1319
Practice Address - Fax:541-451-1028
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-25
Last Update Date:2014-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR4122284300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes284300000XHospitalsSpecial Hospital