Victor Collazo Vidales JR. - Portland, OR

Victor Collazo Vidales JR.

Student in an Organized Health Care Education/Training Program in Portland, Oregon

NPI 1184246704

Victor Collazo Vidales JR. is a Student in an Organized Health Care Education/Training Program based in Portland, OR. Victor Collazo Vidales JR. practices in Portland, OR. The NPI Number for Victor Collazo Vidales JR. is 1184246704 and holds a License No. (Oregon).

The current practice location address for Victor Collazo Vidales JR. is 2730 S Moody Ave, Portland, OR and can be reached out via phone at 503-494-0843.

Location: 2730 S Moody Ave, Portland, OR, 97201-5042

NPI Number

1184246704

Provider Name

Victor Collazo Vidales JR.

Credential

Provider Entity Type

Individual

Gender

Male

Address

2730 S Moody Ave, Portland, OR, 97201-5042

Phone Number

503-494-0843

Fax Number

Provider Enumeration Date

05/18/2020

Last Update Date

03/10/2024

Address

2730 S Moody Ave

City

Portland

State

Oregon

Zip

97201-5042

Phone Number

503-494-0843

Fax Number

Address

2730 S Moody Ave

City

Portland

State

Oregon

Zip

97201-5042

Phone Number

503-494-0843

Fax Number

Type

Student, Health Care

Classification

Student in an Organized Health Care Education/Training Program

Speciality

Taxonomy

390200000X

License No.

()

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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