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Organization
COREY VANDE ZANDSCHULP MD PC
Active
Organization
COREY VANDE ZANDSCHULP MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. COREY VANDE ZANDSCHULP MD (OWNER)
(503) 850-9940
Entity
Organization
Contact information
Practice address
4103 MERCANTILE DR, LAKE OSWEGO, OR 97035-2556
(503) 850-9940
(877) 533-6717
Mailing address
4103 MERCANTILE DR, LAKE OSWEGO, OR 97035-2556
(503) 850-9940
(877) 533-6717
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Enumeration date
03/01/2007
Last updated
06/25/2021
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