DAVID LAWRENCE FEDEROFF


Address: 35 Mullins Dr Ste 2, Lebanon, OR 97355-3985
Phone: 5414517915

DAVID LAWRENCE FEDEROFF (NPI# 1356812291) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1356812291
Entity Type Individual
Full Name DAVID LAWRENCE FEDEROFF
Credential PA
Practice Address 35 Mullins Dr Ste 2
Lebanon
OR 97355-3985
Practice Telephone 5414517915
Practice Fax Number 5414517973
Mailing Telephone 5414517915
Mailing Fax Number 5414517973
Enumeration Date 2018-12-17
Last Update Date 2020-01-29
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
PA195905 OR Physician Assistants & Advanced Practice Nursing Providers
N 363AM0700X Physician Assistant
Specialization: Medical
56220 CA Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
9041 Magnolia Ave Ste 107, Riverside, CA 925033942 9513531021

Office Location

Street Address 35 MULLINS DR STE 2
City LEBANON
State OR
Zip Code 97355-3985

Providers in the same location

NPI Name Taxonomy Address Enumeration
1952340838 Winnifred Barron Physician Assistant 35 Mullins Dr Ste 2, Lebanon, OR 97355-3985 2006-06-06
1720329873 Valerie Smith Physician Assistant 35 Mullins Dr Ste 2, Lebanon, OR 97355-3985 2013-03-13
1306881883 Leslie A Pliskin Emergency Medicine 35 Mullins Dr Ste 2, Lebanon, OR 97355-3985 2006-06-18

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1710516182 Patricia Hoangphuong Nguyen Student in an Organized Health Care Education/Training Program Western University of Health Sciences Comp-northwest, 200 Mullins Drive, Lebanon, OR 97355 2020-04-07
1528609740 Liana Beaty Technician 31231 Mccraven Ln, Lebanon, OR 97355 2019-09-30
1710465323 Jackie Welter Health Educator 35 Mullins Drvie Ste 3, Lebanon, OR 97355 2018-08-06
1518415371 Kathleen Hillary Registered Nurse 525 North Santiam Highway, Lebanon, OR 97355 2016-09-21
1861849283 Emily Marshall Student in an Organized Health Care Education/Training Program 200 Mullins Drive, Lebanon, OR 97355 2016-05-16
1033565551 Celeste Maxine Croy-baker Student in an Organized Health Care Education/Training Program 200 Mullins Dr., Lebanon, OR 97355 2016-05-13
1770956963 Jeff Parsons Occupational Therapist 600 Ne 5th St, Oregon Veterans Home, Lebanon, OR 97355 2015-11-10
1003289588 Hong Ngoc Nguyen Pharmacist 675 N Fifth Street, Lebanon, OR 97355 2015-11-05
1801278049 Darrel A Decker Skilled Nursing Facility 350 8th Street, Lebanon, OR 97355 2015-06-24
1679985113 State of Oregon Department of Veterans' Affairs Skilled Nursing Facility 600 N. 5th Street, Lebanon, OR 97355 2014-06-02
Find all providers in zip 97355

Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1083212625 Kele Ferreira Physician Assistant 1201 Sandhill Rd, Lebanon, PA 17046-1943 2020-10-15
1841843174 Jesse Paul Laughner Physician Assistant 735 Norman Dr Ste 8, Lebanon, PA 17042-7559 2019-07-16
1881868750 Oronzo Ronald Schiraldi Physician Assistant 7 Deer Run, Lebanon, NJ 08833-3004 2008-04-22
1740211788 Tammie Wampler Physician Assistant 107 Glidepath Way, Lebanon, TN 37090-4133 2006-07-06
1487610069 Erin Mcculloch Crisp Physician Assistant 1407 W Baddour Pkwy, Lebanon, TN 37087-2513 2006-04-24
1023013620 Richard B Halbur Physician Assistant 191 N Main St, Lebanon, OR 97355-2870 2005-06-20
1326679366 Joshua Christopher Schirripa Physician Assistant 675 N 5th St Ste 200, Lebanon, OR 97355-2875 2020-01-29
1245878420 Lauren Michelle Eastman Physician Assistant 1 Medical Center Dr, Lebanon, NH 03756-0001 2019-12-18
1164079091 Sarah A Muse Physician Assistant 1 Medical Center Dr, Lebanon, NH 03756-0001 2019-08-26
1790262525 Erin Elizabeth Schroeder Physician Assistant 2705 N Lebanon St Ste 210, Lebanon, IN 46052-8622 2018-07-24
Find all providers in LEBANON

Competitor

Search similar providers

City LEBANON
Zip Code 97355

Improve Information

Please comment or provide details below to improve the information on DAVID LAWRENCE FEDEROFF.

Dataset Information

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.

Trending Searches