MRS. ROBERTA NADINE VANDENTOP PHYSICIAN ASSISTANT
NPI 1124109889
Physician Assistant - Medical in Portland, OR
About Mrs. Roberta Nadine Vandentop Physician Assistant NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. ROBERTA NADINE VANDENTOP PHYSICIAN ASSISTANT (NPI 1124109889) is an individual medical provider in Portland, Oregon and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mrs. Roberta Nadine Vandentop Physician Assistant is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Reported Quality Measures
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PORTLAND, OR 97225
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1124109889, enumerated as an "individual" on October 18, 2006.
The provider is located at 1815 SW MARLOW AVE STE 110 PORTLAND, OR 97225 and the phone number is (503) 296-0918.
Physician Assistant with taxonomy code 363AM0700X and a focus in Medical.