Individual
JANA M. VANAMBURG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2275 NE DOCTORS DR, SUITE 7, BEND, OR 97701-6324
(541) 323-2790
(541) 636-0898
Mailing address
2275 NE DOCTORS DR, SUITE 7, BEND, OR 97701-6324
(541) 323-2790
(541) 636-0898
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD23515
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
268652
—
OR
Enumeration date
12/12/2005
Last updated
08/27/2012
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