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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