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Contact Information

LAURA M VANDERWERFF, MD
24800 SE STARK ST
GRESHAM, OR97030-3378
 Phone: 503-667-1122
 Fax: 503-413-7361
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Critical Care Medicine

207RC0200X 11 Physician/Internal Medicine
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for LAURA M VANDERWERFF · (Female)

NPI # 1255360350
Status Active
Credentials MD
Entity Individual
Enumeration date 07/01/2006
Last updated 09/18/2009 - About 17 years ago
Sole proprietor 1 Yes
Identifiers
  • OR License # MD26586
Hospital affiliation(s)
  • LEGACY GOOD SAMARITAN MEDICAL CENTER - (Acute Care)
    1015 NW 22ND AVENUE, W121
    PORTLAND, OR 97210
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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