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Contact Information

ISABEL R VANDERSLICE, MD
3181 SW SAM JACKSON PARK RD
PORTLAND, OR97239-3098
 Phone: 503-494-8311
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neurocritical Care

2084A2900X 86 Physician/Neuropsychiatry
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for ISABEL R VANDERSLICE · (Female)

NPI Number 1386137784
Status Active
Credentials MD
Entity Individual
Enumeration date 06/11/2018
Last updated 07/11/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • OR License # MD212605
  • IL Medicaid 1386137784
Hospital affiliation(s) Not Available
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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