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NPI Code Detail

MEDICARE: PAULO VIANNEY VILELA RODRIGUES PHD, MSN, RN, BS.

MEDICARE: PAULO VIANNEY VILELA RODRIGUES PHD, MSN, RN, BS.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LP0808XPsychiatric/Mental Health Nurse PractitionerARNP.AP.70060199-NPWA
2163W00000XRegistered NurseRN61301773WA

General Provider Information

NPI Number : 1033006150
Entity Type Code : Individual
Provider Name (Legal Business Name) : PAULO VIANNEY VILELA RODRIGUES PHD, MSN, RN, BS.
Provider Business Mailing Address
First Line : 607 C. STREET
Second Line :
City : WASHOUGAL
State : WA
Zip : 98671
Country : US
Telephone Number : 503-791-2920
Fax Number : 503-791-2920
Provider Business Practice Location Address
First Line : 1615 DELAWARE ST
Second Line :
City : LONGVIEW
State : WA
Zip : 98632-2367
Country : US
Telephone Number : 360-636-4865
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/20/2025
Last Update Date : 03/16/2026

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