Dr Corey J Vande Zandschulp, MD | |
4103 Mercantile Dr, Lake Oswego, OR 97035 | |
(503) 850-9940 | |
(503) 850-6709 |
Full Name | Dr Corey J Vande Zandschulp |
---|---|
Gender | Male |
Speciality | Orthopedic Surgery |
Experience | 24 Years |
Location | 4103 Mercantile Dr, Lake Oswego, Oregon |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1477567402 | NPI | - | NPPES |
241316 | Medicaid | OR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207X00000X | Orthopaedic Surgery | MD24129 (Oregon) | Primary |
174400000X | Specialist | MD24129 (Oregon) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Legacy Emanuel Medical Center | Portland, OR | Hospital |
Entity Name | Corey Vande Zandschulp Md Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1144358177 PECOS PAC ID: 2668576711 Enrollment ID: O20070329000046 |
Mailing Address | Practice Location Address |
---|---|
Dr Corey J Vande Zandschulp, MD 4103 Mercantile Dr, Lake Oswego, OR 97035-2556 Ph: (503) 850-9940 | Dr Corey J Vande Zandschulp, MD 4103 Mercantile Dr, Lake Oswego, OR 97035 Ph: (503) 850-9940 |
Stephen Fuller, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 16001 Quarry Rd, Lake Oswego, OR 97035 Phone: 503-635-1055 | |
Ms. Marilyn Louise Yodlowski, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 16001 Quarry Rd, Lake Oswego, OR 97035 Phone: 503-635-1604 Fax: 503-635-6659 | |
Dr. Michael Raymond Marble, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 5226 Dawn Ave, Lake Oswego, OR 97035 Phone: 503-620-2933 Fax: 503-620-8652 | |
Stephen J Wallace, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 4103 Mercantile Dr, Lake Oswego, OR 97035 Phone: 503-850-9940 Fax: 503-850-6709 | |
Dr. Amer J Mirza, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 4103 Mercantile Dr, Lake Oswego, OR 97035 Phone: 503-850-9940 Fax: 503-850-6709 | |
Mr. Wayne Kaesche, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 16001 Quarry Rd, Lake Oswego, OR 97035 Phone: 503-635-1604 Fax: 503-635-6659 |