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1326646118
TRAVIS VANDINH
PORTLAND, OR
NPI
1326646118
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LA2100X Nurse Practitioner, Acute Care
(Licence: OR 202008945NP-PP)
Enumeration Date
2020-10-13
Last Update Date
2022-01-12
Business Address
Mr. TRAVIS VANDINH DNP , AGACNP
4805 NE GLISAN ST STE BG12
PORTLAND, OR 97213-2933
Phone number: 503-215-2392
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Mailing Address
Mr. TRAVIS VANDINH DNP , AGACNP
PO BOX 3158
PORTLAND, OR 97208-3158
Phone number: 503-215-6494
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