ANDREW BRUCE MENDENHALL MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036155050

License Status

ACTIVE

Business

Title

First Name

ANDREW

Middle

BRUCE

Last Name

MENDENHALL

Business Name

ANDREW BRUCE MENDENHALL MD

Original Issue Date

12/15/2020

Effective Date

06/17/2023

Expiration Date

07/31/2026

City

PORTLAND

State

Zip

97213

Ever Disciplined

LastModifiedDate

06/17/2023