The Vascular and Interventional Group, LLC
NPI #1265908289 in Wilsonville, Oregon
Provider Information
- NPI Number
- 1265908289
- Entity Type
- Organization
- Organization Name
- The Vascular and Interventional Group, LLC
- Primary Specialty
- Radiology - Vascular & Interventional Radiology
- Enumeration Date
- Oct 17, 2018
- Last Updated
- Oct 17, 2018
Practice Location
- Address
- 25030 SW PARKWAY AVE STE 200
- City
- Wilsonville
- State
- Oregon
- ZIP Code
- 97070-9816
- Phone
- (503) 612-0498
Authorized Official
- Name
- MANDY BOUSCHOR
- Title
- ADMINISTRATOR
- Phone
- (503) 612-0498
Specialties & Taxonomy Codes
| Specialty |
|---|
| Radiology - Vascular & Interventional Radiology — Vascular & Interventional Radiology |
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