Individual provider · Type 1 NPI

Keeona G. Vance

Family Nurse Practitioner · Portland, OR

NPI number 1528636156 Active

Practice location

3550 N Interstate Ave
Portland, OR 97227-1196

Mailing address

15 N Going St
Portland, OR 97217-2913

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner 363L00000X202208494NP-PP (OR)
Family Nurse Practitioner Primary 363LF0000X202208494NP-PP (OR)

Family Nurse Practitioner: Definition to come...

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About NPI 1528636156

Keeona G. Vance's National Provider Identifier is 1528636156, issued on Jun 10, 2021. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Portland, OR. The record was last updated on Oct 12, 2023.