Individual
AARON VITELLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2424 NE 41ST AVE, PORTLAND, OR 97212-5423
(503) 227-2125
Mailing address
2424 NE 41ST AVE, PORTLAND, OR 97212-5423
(503) 227-2125
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD19678
OR
Other
Enumeration date
07/24/2012
Last updated
07/24/2012
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