Vitellaria LLC

NPI #1073257614 in Tigard, Oregon

Provider Information

NPI Number: 1073257614
Entity Type: Organization
Organization Name: Vitellaria LLC
Primary Specialty: Psychiatry & Neurology - Psychiatry
Enumeration Date: Apr 20, 2022
Last Updated: Jul 31, 2024

Practice Location

Address: 9735 SW SHADY LN STE 104
City: Tigard
State: Oregon
ZIP Code: 97223-5481
Phone: (503) 707-6302

Authorized Official

Name: SARAH PAUL, PMHNP
Title: OWNER
Phone: (503) 781-3278

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X
Clinic/Center - Adult Mental Health — Adult Mental Health	261QM0850X
Nurse Practitioner - Psychiatric/Mental Health — Psychiatric/Mental Health	363LP0808X
Psychiatry & Neurology - Psychiatry — Psychiatry	2084P0800X	Primary

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