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NATHAN DAVID VANDERBURG L.M.T NPI 1770714115


NPI Information

NPI: 1770714115
Provider Name: NATHAN DAVID VANDERBURG, L.M.T
Classification: Specialist - 174400000X
Entity Type: Individual
Address:
6395 KEIZER STATION BLVD NE
KEIZER, OR
ZIP 97303
Phone: (503) 589-1597
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Nathan David Vanderburg, L.M.T is a specialist in Keizer, OR. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. Nathan David Vanderburg, L.M.T NPI is 1770714115. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

6395 KEIZER STATION BLVD NE
KEIZER, OR
ZIP 97303-305
Phone: (503) 589-1597
Fax: (503) 586-0299

The enumeration date for this NPI number is 8/3/2009 and was last updated on 8/3/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialist13684OREGONYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.