Individual
MARGARET S. VANDENBARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4855 SW WESTERN AVE, BEAVERTON, OR 97005-3460
(503) 643-7565
Mailing address
4125 SW DOGWOOD LN, PORTLAND, OR 97225-2034
(503) 297-8337
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD 11358
OR
Other
Enumeration date
08/19/2006
Last updated
07/08/2007
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