Douglas L Vanderbilt
Medical Specialty
Professional ID
- NPI: 1528138534
- PECOS ID: 1153486279
- Enrollment ID: I20160926002260
- Credential(MD, DO, DPM):
- Medical School:
- Medical School Graduation Year: 1972
Hospital Service
- Hospital CCN1: 021311
- Business Name (LBN)1: Ketchikan Medical Center
Medical Practices
- Organization Name: Peacehealth
- Group Practice ID assigned by PECOS: 9436067618
- Number of Group Practice member: 87
Location
- Address1: 3100 Tongass Ave
- Address2:
- City: Ketchikan
- State: Alaska
- Zip Code: 99901
- Phone Number: (907)228-8300
Medicare
- Medicare Assignment: Yes
- Report Quality of Care to Physician Quality Reporting System (PQRS): Yes
- Used Electronic health record (EHR):