Individual
JOEL VILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
706 NE EVANS ST, MCMINNVILLE, OR 97128-3926
(503) 472-1405
Mailing address
2730 SW MOODY AVE, PORTLAND, OR 97201-5042
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA195738
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/24/2018
Last updated
11/12/2024
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