Vangordon, Douglas

Vangordon, Douglas is an individual health care provider with primary practice located at 2245 Nw Shevlin Park Rd , Bend OR 97703-7195. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine, Sports Medicine, which is considered as his primary health care specialty. Vangordon, Douglas can be contacted via phone (541) 382-3344.

Contact Information

Primary practice address
2245 Nw Shevlin Park Rd Bend OR 97703-7195
Phone: (541) 382-3344
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine, Sports Medicine 204C00000X 15-00002769 Oregon

Profile Details

NPI number 1558719369
LBN Legal business name Vangordon, Douglas
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 2nd, 2016
Last updated Jun 2nd, 2016 - about 10 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 1558719369 NPPES
Oregon MEDICAID 134170

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