Individual provider · Type 1 NPI

Nathan David Vanderburg, L.M.T

Specialist · Keizer, OR

NPI number 1770714115 Active

Practice location

6395 Keizer Station Blvd NE
Keizer, OR 97303-2305

Fax (503) 586-0299

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X13684 (OR)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1770714115

Nathan David Vanderburg, L.M.T's National Provider Identifier is 1770714115, issued on Aug 3, 2009. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Keizer, OR. The record was last updated on Aug 3, 2009.