Organization
NORTHWEST VITALITY GROUP
Active
Other names
Northwest Vitality Group
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HOLLY ANNE FAY DNP, APRN, FNP-A (OWNER/PROVIDER/CMO)
(503) 757-8535
Entity
Organization
Contact information
Practice address
9233 SW 52ND AVE, PORTLAND, OR 97219-5003
(503) 757-8535
(971) 223-0949
Mailing address
3 MONROW PKWY, STE P #714, LAKE OSWEGO, OR 97035
(503) 477-5084
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
04/27/2022
Last updated
04/27/2022
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