Individual
COLTON REID VERMILLION
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
850 NE 122ND AVE, PORTLAND, OR 97230-2003
(503) 255-1432
Mailing address
850 NE 122ND AVE, PORTLAND, OR 97230-2003
(503) 255-1432
(503) 255-1997
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA221419
OR
Other
Enumeration date
11/13/2023
Last updated
08/20/2025
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