National Provider Identifier Database

JACOB VANDERSTARRE, MD – NPI #1003267782
Emergency Medicine

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.


Contact Information

JACOB VANDERSTARRE, MD
890 OAK ST SE BLDG A
SALEM, OR97301
Phone: 855-691-9890
Fax:
Website:
Specialty Taxonomy Code
* Emergency Medicine 207P00000X

* Indicates primary specialty

NPI Profile & details for JACOB VANDERSTARRE

NPI Number 1003267782
Credentials MD
Entity Individual
Enumeration date 06/24/2016
Last updated 06/21/2019 - About 7 years ago
Sole proprietor1 No
Identifiers
  • MI License #: 4301109907
  • OR License #: MD191574
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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