NPI 1063064285

Victoria a Deane, LAC

Practitioner Sports Medicine (Preventive Medicine) Physician Portland, ME

Practice location

Address: 37 Fall Brook St, Portland, ME 04103-4224
Phone: (908) 268-3552
Mailing address: 125 Forest Unit 11072, Portland, ME 04104-4239

Registered specialties (3)

Sports Medicine (Preventive Medicine) Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2083S0010X Licence AC625 (ME)

Other Preventive Medicine providers in Maine →

Family Medicine Physician

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence AC625 (ME)

Other Family Medicine providers in Maine →

Sports Medicine (Family Medicine) Physician

Allopathic & Osteopathic Physicians Taxonomy 207QS0010X Licence AC625 (ME)

Registry record

NPI: 1063064285
Entity type: Individual
Sex (as registered): Female
NPI issued: 9 Jul 2019
Record last updated: 9 Jul 2019

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.