Individual
LYNN M VANTHOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.-C
Contact information
Practice address
10670 NE CORNELL RD STE 300, HILLSBORO, OR 97124-9221
(503) 216-9300
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA01316
OR
Other
Enumeration date
08/29/2006
Last updated
08/17/2022
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