Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1770714115 Individual Practitioner Male Practitioner

Nathan David Vanderburg , LMT

Specialist • Keizer, OR

Professional Overview & Biography Verified Profile Summary

Nathan Vanderburg, LMT is a registered healthcare professional specializing in Specialist in Keizer, OR. Practice services are available at 6395 KEIZER STATION BLVD NE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

6395 Keizer Station Blvd Ne

Keizer, OR 973032305

Telephone 5035891597
Fax 5035860299
Associated Practice Facility / Clinic
🏢 Massage North West, Inc. Facility NPI 1336280262

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Keizer, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 35.7 Yrs
Regional Practice Density
5 Specialists

Practicing in Keizer, OR (1153 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License OR 13684

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

9 Associated Practitioners
Teressa Moore , LMT

Massage Therapist

NPI 1053507186

Licensed Massage Therapist

Kacie Hinojosa

Massage Therapist

NPI 1124664396
Nora Bauldree , LMT

Massage Therapist

NPI 1295055424

Licensed Massage Therapist

Robert Shute

Massage Therapist

NPI 1396382016
Zuleima Shute

Massage Therapist

NPI 1508406059
Margi Pringle , LMT

Massage Therapist

NPI 1578757779

Licensed Massage Therapist

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active August 03, 2009

NPI status registered as active in NPPES database

📍
Updated Practice Location August 03, 2009

Registered at 6395 KEIZER STATION BLVD NE, KEIZER, OR 973032305 (Tel: 5035891597)

📍
Updated Business Mailing Address August 03, 2009

Registered at 6395 KEIZER STATION BLVD NE, KEIZER, OR 973032305 (Tel: 5035891597)

👤
Provider Name / Credentials Updated August 03, 2009

Recorded as NATHAN VANDERBURG, L.M.T

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 03, 2009

Specialist (License #13684 in OR)

🟢
Initial NPI Registration & Enumeration August 03, 2009

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1770714115
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 03, 2009
Last Update: August 03, 2009
Sole Proprietor: No

Mailing Address

6395 Keizer Station Blvd Ne

Keizer, OR 973032305

Phone: 5035891597

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.