Vandusen, Mark James
Vandusen, Mark James is an individual health care provider with primary practice located at 4925 Sw Griffith Dr , Beaverton OR 97005-2923. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Vandusen, Mark James can be contacted via phone (503) 277-2014.Contact Information
Primary practice address
4925 Sw Griffith Dr
Beaverton OR 97005-2923
Phone: (503) 277-2014
Fax: (503) 277-2263
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Orthodontics and Dentofacial Orthopedics | 1223X0400X | D6936 | Oregon |
Profile Details
| NPI number | 1831253335 |
|---|---|
| LBN Legal business name | Vandusen, Mark James |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 20th, 2006 |
| Last updated | May 14th, 2015 - about 11 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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