Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jacob Vanderstarre, MD

Individual provider Emergency Medicine Physician · NPI 1003267782

Jacob Vanderstarre, MD is an Emergency Medicine in Salem, Oregon. Graduated from Wayne State University School of Medicine in 2016, 10 years ago. Practices with Southwestern Michigan Emergency Services, PC, a 67-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Michigan and Oregon.

Years since qualifying
10
Trained at
Wayne State University School of Medicine
Licensed in
MI, OR
In the registry since
2016
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

890 Oak St SE Bldg A
Salem, OR 97301
Phone: (855) 691-9890
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 100 Michigan St Ne, Grand Rapids, MI 49503-2560 — (616) 391-1680
  • 100 Michigan St Ne, Grand Rapids, MI 49503-2560 — (616) 391-1680

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence MD191574 (OR)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 4301109907 (MI)

Record details

NPI number1003267782
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 24, 2016
Last updated in NPPESJune 21, 2019
Mailing address890 Oak St Se Bldg A, Salem, OR 97301-3905

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyEMERGENCY MEDICINE
Medical schoolWAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduated 2016 (10 years in practice)
Group practice Southwestern Michigan Emergency Services, Pc — 67 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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