OrganizationActive
The Vascular and Interventional Group, LLC
NPI 1265908289 · Vascular & Interventional Radiology Physician · Wilsonville, OR
Provider details
- NPI number
- 1265908289
- Entity type
- Organization
- Primary specialty
- Vascular & Interventional Radiology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Mandy Bouschor, Administrator(503) 612-0498
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
25030 Sw Parkway Ave Ste 200
Wilsonville, OR 97070-9816
Phone: (503) 612-0498
Fax: (503) 459-0521
Approximate (ZIP-level) locationGet directions
Mailing address
25030 Sw Parkway Ave Ste 200
Wilsonville, OR 97070-9816
Registry dates
- Enumerated
- 2018-10-17
- Last updated
- 2018-10-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.