Individual
MARK PAUL VANTIGHEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
OHSU 3181 SW SAM JACKSON PARK ROAD, PORTLAND, OR 97239
(503) 494-8211
Mailing address
9403 N WALL ST, SPOKANE, WA 99218
(206) 669-3482
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
19339
MT
Other
Enumeration date
05/01/2009
Last updated
04/05/2024
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