Individual
VANESSA VANDERPOOL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
18610 NW CORNELL RD, SUITE 101, HILLSBORO, OR 97124-9204
(503) 216-9360
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
(503) 215-6494
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD159162
OR
Other
Enumeration date
05/14/2009
Last updated
10/06/2020
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