VITELLARIA LLC NPI 1073257614

NPI Information

  • NPI: 1073257614
  • Provider Name: VITELLARIA LLC
  • Classification: Psychiatry & Neurology - 2084P0800X
  • Specialization: Psychiatry
  • Entity Type: Organization
  • Address: 9735 SW SHADY LN STE 104
    TIGARD, OR
    ZIP 97223
  • Phone: (503) 707-6302

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NPI Details

VITELLARIA LLC is a psychiatry psychiatry neurology in Tigard, OR. The provider is a Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. VITELLARIA LLC NPI is 1073257614. The provider is registered as an organization entity type and is a multi-specialty group.

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 7/31/2024.

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
11041C0700XSocial WorkerClinicalNo
22084P0800XPsychiatry & NeurologyPsychiatryYes
3261QM0850XClinic/CenterAdult Mental HealthNo
4363LP0808XNurse PractitionerPsychiatric/Mental HealthNo

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: 11/21/2025

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