Individual
JANINE TRACY VANSANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
10150 SE 32ND AVE, MILWAUKIE, OR 97222-6516
(503) 513-8641
(503) 513-8866
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD165426
OR
208M00000X
Hospitalist Physician
MTL-2026-008
GU
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/14/2008
Last updated
03/03/2026
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