Individual provider · Type 1 NPI
Vivian B. Vargo, NP
Pediatric Nurse Practitioner · Gresham, OR
NPI number
1043330343
Active
Practice location
600 NE 8th St
Gresham, OR 97030-7317
Fax (503) 988-5185
Mailing address
619 NW 6th Ave, 5th Fl
Portland, OR 97209-3964
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | 200650065NP (OR) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1043330343
Vivian B. Vargo, NP's National Provider Identifier is 1043330343, issued on Mar 30, 2007. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Gresham, OR. The record was last updated on Aug 27, 2019.