Provider Demographics
NPI:1972598647
Name:VEALE, ROBERT L (MD)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:L
Last Name:VEALE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:1050 W ELM AVE
Mailing Address - Street 2:SUITE 210
Mailing Address - City:HERMISTON
Mailing Address - State:OR
Mailing Address - Zip Code:97838-2700
Mailing Address - Country:US
Mailing Address - Phone:541-567-6448
Mailing Address - Fax:541-567-4142
Practice Address - Street 1:1050 W ELM AVE
Practice Address - Street 2:SUITE 210
Practice Address - City:HERMISTON
Practice Address - State:OR
Practice Address - Zip Code:97838-2700
Practice Address - Country:US
Practice Address - Phone:541-567-6448
Practice Address - Fax:541-567-4142
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-19
Last Update Date:2007-10-18
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
ORMD10265207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR281378Medicaid
ORC94001Medicare UPIN
OR0000BHGPJMedicare ID - Type Unspecified