Provider Demographics
NPI:1548728769
Name:SANDRA A. VILHAUER, M.D., P.C.
Entity type:Organization
Organization Name:SANDRA A. VILHAUER, M.D., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BOOKKEEPER
Authorized Official - Prefix:
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:M
Authorized Official - Last Name:DEMPSTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:503-690-0707
Mailing Address - Street 1:5920 NE RAY CIR STE 220
Mailing Address - Street 2:
Mailing Address - City:HILLSBORO
Mailing Address - State:OR
Mailing Address - Zip Code:97124-6313
Mailing Address - Country:US
Mailing Address - Phone:503-690-0707
Mailing Address - Fax:503-690-9796
Practice Address - Street 1:5920 NE RAY CIR STE 220
Practice Address - Street 2:
Practice Address - City:HILLSBORO
Practice Address - State:OR
Practice Address - Zip Code:97124-6313
Practice Address - Country:US
Practice Address - Phone:503-690-0707
Practice Address - Fax:503-690-9796
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-06
Last Update Date:2019-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2080A0000XAllopathic & Osteopathic PhysiciansPediatricsAdolescent MedicineGroup - Single Specialty