David Foster, MD

Individual provider Active NPI Family Medicine Physician · Stayton, OR

NPI 1730195702 · NPPES record last updated Apr 18, 2008

Key facts

NPI
1730195702
Entity type
Individual (NPI type 1)
Primary specialty
Family Medicine Physician 207Q00000X
License
MD12438 (OR)
Practice address
1401 N 10TH Ave #200
Stayton, OR 97383-1311
Phone
(503) 769-6367
Fax
(503) 769-5416
NPI assigned
Jul 31, 2006
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD12438ORMDFamily Medicine Physician

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD12438 OR Yes

Addresses

Primary practice location

1401 N 10TH Ave #200
Stayton, OR 97383-1311

Mailing address

1401 N 10TH Ave #200
Stayton, OR 97383-1311
Phone (503) 769-6367

Other providers in Stayton, OR

All providers in Stayton, OR · Family Medicine Physician in Oregon

Sources for this page

Verify at the official NPI Registry.