Mrs. Roberta Nadine Vandentop, PHYSICIANASSISTANT
Mrs. Roberta Nadine Vandentop, PHYSICIANASSISTANT is a Medical Physician Assistant in Portland, Oregon. Practices as a sole proprietor. Registered with an NPI since 2006.
- In the registry since
- 2006
Practice location Address checks out
1815 SW Marlow Ave Ste 110Portland, OR 97225-5185
Phone: (503) 296-0918
Fax: (503) 296-6158
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Specialties & licences
| Medical Physician Assistant (primary) | Taxonomy 363AM0700X |
|---|
Record details
| NPI number | 1124109889 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | PHYSICIANASSISTANT |
| Sole proprietor | Yes |
| NPI enumerated | October 18, 2006 |
| Last updated in NPPES | July 8, 2007 |
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