NPI 1043909237

Omar Vitela

Practitioner Other Technician Woodburn, OR

Practice location

Address: 687 S Front St, Woodburn, OR 97071-5511
Phone: (503) 406-0292
Mailing address: 7108 S Kanner Hwy, Stuart, FL 34997-7462

Registered specialties

Other Technician Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 247200000X

Other Technician, Other providers in Oregon →

Registry record

NPI: 1043909237
Entity type: Individual
Sex (as registered): Male
NPI issued: 3 May 2023
Record last updated: 3 May 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.