Individual
DR. COREY J VANDE ZANDSCHULP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4103 MERCANTILE DR, LAKE OSWEGO, OR 97035
(503) 850-9940
(503) 850-6709
Mailing address
4103 MERCANTILE DR, LAKE OSWEGO, OR 97035-2556
(503) 850-9940
(503) 850-6709
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
MD24129
OR
207X00000X
Orthopaedic Surgery Physician
Primary
MD24129
OR
207XX0801X
Orthopaedic Trauma Physician
MD6143532
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
241316
—
OR
Enumeration date
07/27/2006
Last updated
11/21/2025
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