KEEONA G VANCE

PORTLAND, OR
NPI1528636156
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: OR  202208494NP-PP)
Additional Taxonomies363L00000X Nurse Practitioner
(Licence: OR  202208494NP-PP)
Enumeration Date2021-06-10
Last Update Date2023-10-12
Business Address
KEEONA G VANCE
3550 N INTERSTATE AVE
PORTLAND, OR 97227-1196
Phone number: 503-813-2000
Mailing Address
KEEONA G VANCE
15 N GOING ST
PORTLAND, OR 97217-2913
Phone number: 971-570-2278