Individual provider · Type 1 NPI

Mary Vaandering

Specialist · Portland, OR

NPI number 1992049712 Active

Practice location

17221 SE Division St, S-21
Portland, OR 97236-1240

Call (503) 760-0778 Map

Mailing address

3354 SW Beaverton Hillsdale Hwy
Portland, OR 97239-6901

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X17996 (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 1992049712

Mary Vaandering's National Provider Identifier is 1992049712, issued on Nov 16, 2012. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Portland, OR. The record was last updated on Nov 16, 2012.