Vande Zandschulp, Corey J
Vande Zandschulp, Corey J is an sole proprietor health care provider with primary practice located at 4103 Mercantile Dr , Lake Oswego OR 97035. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Other Service Providers / Specialist. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Vande Zandschulp, Corey J can be contacted via phone (503) 850-9940.Contact Information
Primary practice address
4103 Mercantile Dr
Lake Oswego OR 97035
Phone: (503) 850-9940
Fax: (503) 850-6709
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | MD24129 | Oregon |
| Other Service Providers / Specialist | 174400000X | MD24129 | Oregon |
Profile Details
| NPI number | 1477567402 |
|---|---|
| LBN Legal business name | Vande Zandschulp, Corey J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 27th, 2006 |
| Last updated | Jan 21st, 2021 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1477567402 | NPPES |
| Oregon | MEDICAID | 241316 |
Popular Providers
-
Isbell, William M
3001 Edwards Mill Rd Suite 200, Raleigh NC 27612-5243 -
Ackerman, Timothy S
820 Sir Thomas Ct , Harrisburg PA 17109-4839 -
Frome, Britton A
4103 Mercantile Dr , Lake Oswego OR 97035 -
Strum, Gregory
16001 Quarry Rd , Lake Oswego OR 97035-3359 -
Marble, Michael Raymond
5226 Dawn Ave , Lake Oswego OR 97035-8112 -
Madey, Steven M
4103 Mercantile Dr , Lake Oswego OR 97035 -
Babins, David M
300 State St Ste 400A, Erie PA 16507-1427 -
Fuller, Stephen
16001 Quarry Rd , Lake Oswego OR 97035-3359