Paula A Vanderford
Pediatrician Pediatric Critical Care Doctor
3181 Sw Sam Jackson Park Rd
Portland
, Oregon 97239-3011
Paula A Vanderford
Pediatrician Pediatric Critical Care Doctor
3181 Sw Sam Jackson Park Rd
Portland
, Oregon 97239-3011
(503) 494-4951
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About
Features
Specialties
- Pediatrician
- Pediatric Critical Care Doctor
Languages spoken
- English
Location
First Address
- Paula A Vanderford
- 707 Sw Gaines St Cdrc-P
- Portland, OR
- Zip : 97239-2901
- Fax : (503) 494-4951
- Phone : (503) 494-8196
Second Address
- Paula A Vanderford
- 3181 Sw Sam Jackson Park Rd
- Portland, OR
- Zip : 97239-3011
- Fax : (503) 494-4951
- Phone : (503) 418-5800
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 208000000X | Pediatrician | MD28634 | OR |
| Y | 2080P0203X | Pediatric Critical Care Doctor | MD28634 | OR |
National Provider Identifier
| NPI | 1053304006 |
|---|---|
| Provider Name | Paula A Vanderford |
| First Address | Portland, OR 97239-2901 |
| Second Address | Portland, OR 97239-3011 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 24/08/2005 |
| Last Update Date | 12/01/2012 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 028523 | DMAP (01) | OR |
| G24223 | (02) | NV |
| R144108 | MEDICARE PTAN (01) | OR |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.