ROBERTA NADINE VANDENTOP

PORTLAND, OR
NPI1124109889
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363AM0700X Physician Assistant, Medical
Enumeration Date2006-10-18
Last Update Date2007-07-08
Business Address
Mrs. ROBERTA NADINE VANDENTOP Physician Assistant
1815 SW MARLOW AVE STE 110
PORTLAND, OR 97225-5185
Phone number: 503-296-0918
Mailing Address
Mrs. ROBERTA NADINE VANDENTOP Physician Assistant
14807 NW APPLEGATE LN
PORTLAND, OR 97229-1899
Phone number: 503-747-2572
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