Organization
THE VILLA MEDICAL GROUP PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL ROA-TREBOL (OWNER)
(541) 720-8789
Entity
Organization
Contact information
Practice address
15203 NE 72ND AVE, VANCOUVER, WA 98686-1929
(360) 209-4449
Mailing address
15203 NE 72ND AVE, VANCOUVER, WA 98686-1929
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
06/12/2026
Last updated
06/12/2026
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