Mandiberg, Joseph J

Mandiberg, Joseph J is an individual health care provider with primary practice located at 5050 Ne Hoyt St Suite 640, Portland OR 97213-2991. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Mandiberg, Joseph J can be contacted via phone (503) 231-1426.

Contact Information

Primary practice address
5050 Ne Hoyt St Suite 640 Portland OR 97213-2991
Phone: (503) 231-1426
Fax: (503) 231-0316
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X MD 11260 Oregon

Profile Details

NPI number 1144214743
LBN Legal business name Mandiberg, Joseph J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 9th, 2005
Last updated Sep 17th, 2013 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1144214743 NPPES
Oregon MEDICAID 244731

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