Provider Information for 1386892339
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Ms. VICKI A ZEITNER
Sex: Female
NPI: 1386892339
Last Updated: 2024-11-20
Certification Date: 2024-11-19
Certification Date: 2024-11-19
Details
| Name | Value | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1386892339 | ||||||||||||
| Enumeration Date | 2008-09-03 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | YES | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | 12441 NW BARNES RD APT 130 PORTLAND, OR 97229-6003 United States Phone: 503-349-5727 | Fax: | ||||||||||||
| Primary Practice Address | 12441 NW BARNES RD APT 130 PORTLAND, OR 97229-6003 United States Phone: 503-349-5727 | Fax: | ||||||||||||
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