Individual
MARILYN VEGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1900 E FULTON ST, NEWBERG, OR 97132-1806
(503) 538-2108
Mailing address
1900 E FULTON ST, NEWBERG, OR 97132-1806
(503) 538-2108
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
201130244LPN
OR
Other
Enumeration date
04/12/2022
Last updated
04/12/2022
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