Individual
MS. MARIKA JOANNA VANADELSBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12511 SW 68TH AVE, SUITE 100, PORTLAND, OR 97223-8510
(503) 308-3296
Mailing address
12511 SW 68TH AVE, SUITE 100, PORTLAND, OR 97223-8510
(503) 308-3296
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/18/2013
Last updated
07/14/2015
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