# THE VILLA MEDICAL GROUP PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1306771373
- **Authorized official:** DANIEL ROA-TREBOL (OWNER)
- **Authorized official phone:** (541) 720-8789

## Contact information

- **Practice address:** 15203 NE 72ND AVE, VANCOUVER, WA 98686-1929
- **Practice address phone:** (360) 209-4449
- **Mailing address:** 15203 NE 72ND AVE, VANCOUVER, WA 98686-1929

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 06/12/2026
- **Last updated:** 06/12/2026