Individual
NATHAN DAVID VANDERBURG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
L.M.T
Contact information
Practice address
6395 KEIZER STATION BLVD NE, KEIZER, OR 97303-2305
(503) 589-1597
(503) 586-0299
Mailing address
6395 KEIZER STATION BLVD NE, KEIZER, OR 97303-2305
(503) 589-1597
(503) 586-0299
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
13684
OR
Other
Enumeration date
08/03/2009
Last updated
08/03/2009
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