| | Physician Last Name: | Mastanduno |
| | Physician First Name: | Michael |
| | Physician Middle Name: | |
| | Address: | 639 Second Street
Lake Oswego, Oregon 97034 |
| | License Number: | 139407 |
| | License Type: | MD |
| | Year of Birth: |
1952
|
| | Effective Date: | 03/07/2002 |
| | Action Description for DOH Webpage: | License surrender |
| | Misconduct Description for DOH Webpage: | The physician did not contest the charge of having been disciplined by the Oregon State Board of Medical Examiners based upon his incapacity to practice medicine and his refusal of an interview with the Oregon State Board of Medical Examiners. |
| | License Limitations or Conditions for DOH Webpage: | |
| | Board Order: |
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