Andrew E Vilius, PMHNP
Nurse Practitioner, Psych/Mental Health in Gresham, OR. Individual provider (NPI-1).
NPI number1003969643
StatusActive
Last updated in NPPESJan 13, 2021
Details
- NPI
- 1003969643
- Entity type
- Individual (NPI-1)
- Name
- Andrew E Vilius
- Credential
- PMHNP
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jan 18, 2007
- Certification date
- Jan 13, 2021
- Last updated
- Jan 13, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | 200750075NP | OR | Yes |
| 163WP0808X | Registered Nurse, Psych/Mental Health | 200341326RN | OR |
Practice location
955 Ne 3rd StGresham, OR 97030-7418
Phone 503-491-5896
Mailing address
955 Ne 3rd StGresham, OR 97030-7418
Phone 503-491-5896 · Fax 888-972-9783
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