Omar Vitela

NPI #1043909237 in Woodburn, Oregon

Provider Information

NPI Number: 1043909237
Entity Type: Individual
Name: Omar Vitela
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Technician, Other
Enumeration Date: May 3, 2023
Last Updated: May 3, 2023

Practice Location

Address: 687 S FRONT ST
City: Woodburn
State: Oregon
ZIP Code: 97071-5511
Phone: (503) 406-0292

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician, Other	247200000X	Primary

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