Elizabeth Vanderveer, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MD23287 Issued in OR

Practice address

6650 SW Redwood LN
Suite 150
Portland, OR 97224-7169

Phone

(503) 443-2250

NPI assigned

Dec 13, 2012

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Life Medical LLC

  • Nurse Practitioner
  • Tigard, OR
  • NPI 1447065636
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1355356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355356800000",
    "number": "1811233141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6650 SW REDWOOD LN STE 150",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972247184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6650 SW REDWOOD LN",
            "address_2": "SUITE 150",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972247169",
            "telephone_number": "503-443-2250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDERVEER",
        "first_name": "ELIZABETH",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-12-13",
        "last_updated": "2012-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OR",
            "license": "MD23287",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Larissa Ann Vandermeer
• William J.L. Vandermolen, M.D.
• Dalton Vanderpol, MD
• Sarah Kathryn Dora Vanderpool
• Isabel Ruth Vanderslice, MD
• Jonnie McRae Vanderzanden, LPC
• Amanda Vandeventer, PA-C
• Travis Vandinh, DNP , AGACNP
• Amanda Allan Vandlac, M.D.
• Vandmark LLC Dba Comfort Keepers

• Internal Medicine Physician in Portland, OR
• Providers in Portland, OR by specialty
• Internal Medicine Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.