Individual
VIVIAN B VARGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
600 NE 8TH ST, GRESHAM, OR 97030-7317
(503) 988-5155
(503) 988-5185
Mailing address
619 NW 6TH AVE, 5TH FL, PORTLAND, OR 97209-3964
(503) 988-7468
(503) 988-3015
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
200650065NP
OR
Other
Enumeration date
03/30/2007
Last updated
08/27/2019
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