Provider Demographics
NPI:1700058153
Name:STEINBACH, DAVID
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:
Last Name:STEINBACH
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3000 NW STEWART PKWY
Mailing Address - Street 2:SUITE 102
Mailing Address - City:ROSEBURG
Mailing Address - State:OR
Mailing Address - Zip Code:97470-1655
Mailing Address - Country:US
Mailing Address - Phone:541-673-1785
Mailing Address - Fax:541-673-3316
Practice Address - Street 1:3000 NW STEWART PKWY
Practice Address - Street 2:SUITE 102
Practice Address - City:ROSEBURG
Practice Address - State:OR
Practice Address - Zip Code:97470-1655
Practice Address - Country:US
Practice Address - Phone:541-673-1785
Practice Address - Fax:541-673-3316
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-26
Last Update Date:2008-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORHAS-P-698622237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist