VITELLARIA LLC NPI 1073257614

NPI Information

NPI: 1073257614
Provider Name: VITELLARIA LLC
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
9735 SW SHADY LN STE 104
TIGARD, OR
ZIP 97223
Phone: (503) 707-6302
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VITELLARIA LLC is a mental health (including community mental health center) clinic center in Tigard, OR. VITELLARIA LLC NPI is 1073257614. The provider is registered as an organization entity type.

The provider's business location address is:

9735 SW SHADY LN STE 104
TIGARD, OR
ZIP 97223-481
Phone: (503) 707-6302
Fax: (503) 747-4023

The provider's authorized official is Sarah Paul .
The authorized official title is Owner and has the following contact phone number (503) 781-3278.

The enumeration date for this NPI number is 4/20/2022 and was last updated on 1/24/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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