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

Mr. Kevin Lee Vandenheuvel

Individual provider Physician Assistant · NPI 1578910394

Mr. Kevin Lee Vandenheuvel is a Physician Assistant in Enterprise, Oregon. Qualified in 2017, 9 years ago. Practices with Winding Waters Medical Clinic, a 16-clinician group and accepts Medicare assignment.

Years since qualifying
9
In the registry since
2016

Practice location Address checks out

603 Medical Pkwy
Enterprise, OR 97828-5124
Phone: (541) 426-4502
Fax: (541) 426-6403
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1578910394
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 23, 2016
Last updated in NPPESNovember 10, 2017

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Winding Waters Medical Clinic — 16 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Enterprise