Provider Demographics
NPI:1588009492
Name:CLAEYS, DONALD WALTER (MD)
Entity type:Individual
Prefix:
First Name:DONALD
Middle Name:WALTER
Last Name:CLAEYS
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 1:34454 MCKENZIE VIEW DR
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:OR
Mailing Address - Zip Code:97478-9738
Mailing Address - Country:US
Mailing Address - Phone:541-988-3399
Mailing Address - Fax:
Practice Address - Street 1:34454 MCKENZIE VIEW DR
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:OR
Practice Address - Zip Code:97478-9738
Practice Address - Country:US
Practice Address - Phone:541-988-3399
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-06
Last Update Date:2013-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORMD10268207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology