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NPI Code Detail

MEDICARE: VANESSA LIND

MEDICARE: VANESSA LIND
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363AM0700XMedical Physician Assistant
2363A00000XPhysician AssistantPA161376OR

General Provider Information

NPI Number : 1376847012
Entity Type Code : Individual
Provider Name (Legal Business Name) : VANESSA LIND
Provider Business Mailing Address
First Line : 8935 SE POWELL BLVD
Second Line :
City : PORTLAND
State : OR
Zip : 97266-1938
Country : US
Telephone Number : 503-772-4335
Fax Number : 503-772-4337
Provider Business Practice Location Address
First Line : 8935 SE POWELL BLVD
Second Line :
City : PORTLAND
State : OR
Zip : 97266-1938
Country : US
Telephone Number : 503-772-4335
Fax Number : 503-772-4337
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/10/2011
Last Update Date : 03/22/2021

Similar Medicare Providers

1427404243 — ANTHONY BELLSMITH
Practice Location Address:
8935 SE POWELL BLVD
PORTLAND, OR
97266-1938
Practice Phone: 503-772-4335
Practice Fax: 509-772-4337
1073602918 — MR. JOSEPH E. DOHERTY MSW, LCSW
Practice Location Address:
8935 SE POWELL BLVD
PORTLAND, OR
97266-1938
Practice Phone: 503-772-4335
Practice Fax:
1841487311 — MATTHEW W SHOOK M.D.
Practice Location Address:
8935 SE POWELL BLVD
PORTLAND, OR
97266-1938
Practice Phone: 503-772-4335
Practice Fax: 503-772-4337
1982888145 — NATALIE MILLER
Practice Location Address:
8935 SE POWELL BLVD
PORTLAND, OR
97266-1938
Practice Phone: 503-772-4335
Practice Fax: 503-772-4337
1578892782 — PATHOLOGY ASSOCIATES MEDICAL LABORATORIES, LLC
Practice Location Address:
8935 SE POWELL BLVD
PORTLAND, OR
97266-1938
Practice Phone: 503-772-4335
Practice Fax:
1811208721 — DR. KING CHUNG YAM MD
Practice Location Address:
8935 SE POWELL BLVD
PORTLAND, OR
97266-1938
Practice Phone: 503-772-4335
Practice Fax: 503-772-4337

Directions to “ VANESSA LIND ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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