Individual
CASEY VANDENBARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
6542 SE LAKE RD, MILWAUKIE, OR 97222-2244
(503) 427-0118
Mailing address
N8679 LAKESHORE DR, FOND DU LAC, WI 54937-1727
(502) 287-7452
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
008901
KY
225100000X
Physical Therapist
65896
OR
Other
Enumeration date
07/31/2024
Last updated
10/19/2025
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