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Individual

ELISABETH NARDA KISAN-VITELA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
9775 SW 90TH AVE, TIGARD, OR 97223-6770
(971) 275-7911
Mailing address
1011 N SITKA AVE, NEWBERG, OR 97132-1325

Taxonomy

Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
000034137CNA
OR

Other

Enumeration date
01/09/2026
Last updated
01/09/2026
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