Individual
MR. JAMES LEO VINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
B.S.N.
Contact information
Practice address
16485 SW PACIFIC HWY, TIGARD, OR 97224-3446
(503) 620-5141
Mailing address
9492 SW MAPLEWOOD DR, APARTMENT D41, TIGARD, OR 97223-6157
(503) 936-0376
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
200840470RN
OR
Other
Enumeration date
11/21/2009
Last updated
11/21/2009
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