Individual
ELIZABETH VANDERVEER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6650 SW REDWOOD LN, SUITE 150, PORTLAND, OR 97224-7169
(503) 443-2250
Mailing address
6650 SW REDWOOD LN STE 150, PORTLAND, OR 97224-7184
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD23287
OR
Other
Enumeration date
12/13/2012
Last updated
12/13/2012
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