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1275307043
COLTON REID VERMILLION
PORTLAND, OR
NPI
1275307043
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: OR PA221419)
Enumeration Date
2023-11-13
Last Update Date
2025-01-13
Business Address
COLTON REID VERMILLION PA
850 NE 122ND AVE
PORTLAND, OR 97230-2003
Phone number: 503-255-1432
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Mailing Address
COLTON REID VERMILLION PA
850 NE 122ND AVE
PORTLAND, OR 97230-2003
Phone number:
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