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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. ROBERTA NADINE VANDENTOP, PHYSICIAN ASSISTANT

Active Sole Proprietor

MRS. ROBERTA NADINE VANDENTOP, PHYSICIAN ASSISTANT is a Medical Physician Assistant healthcare provider located in PORTLAND, Oregon. NPI 1124109889 is currently active in the NPPES registry. Verify at CMS.

Medical Physician Assistant · PORTLAND, OR

Registration Details

NPI Number
1124109889
Provider Type
Individual
Gender
Female
NPI Issued
Oct 18, 2006 (19.781143901935 yrs)
Last Updated
Jul 8, 2007
Sole Proprietor
Yes

Practice Information

Address
1815 SW MARLOW AVE
STE 110
PORTLAND, OR, 972255185
Browse OR providers · Browse ZIP 97225
Phone
5032960918
Fax
5032966158
Primary Specialty
Medical Physician Assistant
363AM0700X

Other Medical Physician Assistant Providers in PORTLAND, OR

Name Credential NPI
IZABELA MACIOLEK PA-C 1699771238
PATRICK M BIRBECK PAC 1851397400
NICOLE E. PARKER PA-C 1669478210
LORI H KELLY PA-C 1689670226
ROBERT TODD DIXON P.A. 1982602421
ALYSSA RACHAEL PACE PA-C 1275527483
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.