Vitellaria Llc | |
9735 Sw Shady Ln Ste 104 Tigard OR 97223-5481 | |
(503) 707-6302 | |
(503) 747-4023 |
Full Name | Vitellaria Llc |
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Speciality | Psychiatry & Neurology - Psychiatry |
Location | 9735 Sw Shady Ln Ste 104, Tigard, Oregon |
Authorized Official Name and Position | Sarah Paul (OWNER) |
Authorized Official Contact | 5037813278 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Vitellaria Llc 9735 Sw Shady Ln Ste 104 Tigard OR 97223-5481 Ph: (503) 707-6302 | Vitellaria Llc 9735 Sw Shady Ln Ste 104 Tigard OR 97223-5481 Ph: (503) 707-6302 |
NPI Number | 1073257614 |
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Provider Enumeration Date | 04/20/2022 |
Last Update Date | 07/31/2024 |
Certification Date | 07/31/2024 |
Identifier | Type | State | Issuer |
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1073257614 | NPI | - | NPPES |
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