OCEANLAKE VETERINARY CLINIC, PC (NPI# 1184081408) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184081408 |
| Entity Type | Organization |
| Organization Name | OCEANLAKE VETERINARY CLINIC, PC |
| Practice Address |
3545 Nw Highway 101 Lincoln City OR 97367-5047 |
| Practice Telephone | 5419942929 |
| Practice Fax Number | 5419947560 |
| Mailing Telephone | 5419942929 |
| Mailing Fax Number | 5419947560 |
| Enumeration Date | 2016-01-16 |
| Last Update Date | 2016-01-16 |
| Authorized Official Name | DR. JENNIFER ANNE MALTER (OWNER/VETERINARIAN) |
| Authorized Official Telephone | 5419942929 |
| Authorized Official Credential | DVM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174M00000X | Veterinarian | 6457 | OR | Other Service Providers |
| Street Address |
3545 NW HIGHWAY 101 |
| City | LINCOLN CITY |
| State | OR |
| Zip Code | 97367-5047 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881256121 | Amanda Suzanne Cherryholmes | Peer Specialist | 1206 Se 48th Place, Montgomery, Lincoln City, OR 97367 | 2019-07-08 |
| 1982198719 | Lakeside Family Dentistry | Dentist | 3173 Ne West Devils Lake Rd., Lincoln City, OR 97367 | 2018-06-15 |
| 1891282117 | Mark J Lee | Marriage & Family Therapist | 412 Southwest Highway 101, Lincoln City, OR 97367 | 2018-04-23 |
| 1508130196 | Michelle Marie Becker | Pharmacist | 1030 Se Oar Ave Bi-mart, Lincoln City, OR 97367 | 2012-02-29 |
| 1457651465 | Laurene Norelle Alcocer | Pharmacist | 4048 Ne Hwy 101, Lincoln City, OR 97367 | 2010-10-25 |
| 1518106228 | Estate of Kevin L. Chancellor | Dentist | 3173 Ne West Devils Lake Rd, Lincoln City, OR 97367 | 2009-02-19 |
| 1346403656 | Lincoln City Pharmacy & Gifts | Pharmacy | 1800 Se Hwy 101, Suite C, Lincoln City, OR 97367 | 2008-07-07 |
| 1841487139 | Assisted Living Concepts Inc | Assisted Living Facility | 1400 Se 19th, Lincoln City, OR 97367 | 2007-10-01 |
| 1376741074 | Frank Wesley Nettleship | Dentist | 9101 Keys Place, Lincoln City, OR 97367 | 2007-07-05 |
| 1306043989 | Julie Anne Bass | Case Manager/Care Coordinator | 4402 Devils Lake Blvd #2, Lincoln City, OR 97367 | 2007-06-28 |
| Find all providers in zip 97367 | ||||
| Taxonomy Code | 174M00000X |
| Grouping | Other Service Providers |
| Classification | Veterinarian |
| A doctor of veterinary medicine, trained and authorized to practice veterinarian medicine and surgery. |
| Notes: Source: Dorland’s Illustrated Medical Dictionary. 28th edition. Philadelphia: W.B. Saunders Company, 1994, p. 1823 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811360621 | Julia Treseder | Veterinarian | 172 Magruder Hall, College of Veterinary Medicine, Corvallis, OR 97331-8555 | 2015-11-03 |
| 1093136020 | Jennifer Cork Holmes | Veterinarian | 13830 Se Stark St, Portland, OR 97233-1857 | 2013-12-17 |
| 1972930568 | Courtney Catherine Smith | Veterinarian | 1134 Nw 18th St, Corvallis, OR 97330-2620 | 2013-09-27 |
| 1881027902 | Julia Beth Honneffer | Veterinarian | 4880 Nw Crescent Valley Dr, Corvallis, OR 97330-9777 | 2013-08-13 |
| 1326480781 | Katie T Sowell | Veterinarian | 1215 Kelly Ave, The Dalles, OR 97058-2776 | 2013-07-25 |
| 1144667601 | Katherine Frances Scollan | Veterinarian | 105 Magruder Hall, Oregon State University, Corvallis, OR 97331-8555 | 2013-05-23 |
| 1447693460 | Scott Alan Weller | Veterinarian | 1445 Nw 185th Ave, Aloha, OR 97006-1946 | 2013-04-09 |
| 1932440492 | Elizabeth Jane Hoffmann | Veterinarian | 88233 Territorial Hwy, Veneta, OR 97487 | 2013-03-08 |
| 1730429986 | Ryan P Frome | Veterinarian | 88233 Territorial Rd, Veneta, OR 97487 | 2013-02-26 |
| 1700126935 | Jodi L Wiktorowski | Veterinarian | 2555 Mosby Creek Rd, Cottage Grove, OR 97424-1777 | 2013-02-25 |
| Find all providers with the same taxonomy | ||||
| City | LINCOLN CITY |
| Zip Code | 97367 |
Please comment or provide details below to improve the information on OCEANLAKE VETERINARY CLINIC, PC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.