Individual
ANDREW B MENDENHALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1535 N WILLIAMS AVE, PORTLAND, OR 97227-1885
(503) 238-2067
(503) 238-2004
Mailing address
232 NW 6TH AVE, PORTLAND, OR 97209-3609
(503) 294-1681
(503) 241-7419
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
MD24383
OR
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
MD24383
OR
Other
Enumeration date
06/25/2006
Last updated
01/31/2018
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