NPI 1003267782

Jacob Vanderstarre, MD

Practitioner Emergency Medicine Physician Salem, OR

Practice location

Address: 890 Oak St SE Bldg a, Salem, OR 97301
Phone: (855) 691-9890
Mailing address: 890 Oak St SE Bldg a, Salem, OR 97301-3905

Registered specialties (2)

Emergency Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207P00000X Licence MD191574 (OR)

Other Emergency Medicine providers in Oregon →

Emergency Medicine Physician

Allopathic & Osteopathic Physicians Taxonomy 207P00000X Licence 4301109907 (MI)

Registry record

NPI: 1003267782
Entity type: Individual
Sex (as registered): Male
NPI issued: 24 Jun 2016
Record last updated: 21 Jun 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.