Individual
ANGELEE NICOLE VANDRUFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
4927 NE 30TH AVE, PORTLAND, OR 97211-7007
(503) 281-0681
Mailing address
2827 NE AINSWORTH ST, PORTLAND, OR 97211-6156
(971) 255-0934
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
12229
OR
Other
Enumeration date
05/31/2007
Last updated
07/08/2007
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