Individual
ANDREW E VILIUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PMHNP
Contact information
Practice address
955 NE 3RD ST, GRESHAM, OR 97030-7418
(503) 491-5896
Mailing address
955 NE 3RD ST, GRESHAM, OR 97030-7418
(503) 491-5896
(888) 972-9783
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
200341326RN
OR
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
200750075NP
OR
Other
Enumeration date
01/18/2007
Last updated
01/13/2021
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