| Doctor Name: | ANDREW E VILIUS |
| NPI Number: | 1003969643 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PMHNP |
| License Number: | 200341326RN |
| Business Practice Address: | 320 N Main Ave Suite 209 Gresham, OR - 970307242 |
| Business Phone Number: | 5034915896 |
| Business Fax Number: | 8889729783 |
| Mailing Address: | 320 N Main Ave, Suite 209 GRESHAM |
| State: | OR |
| Postal Code: | 970307242 |
| Phone Number: | 5034915896 |
| Fax Number: | 8889729783 |
| NPI Enumeration Date: | 01/18/2007 |
| NPI Last Update Date: | 02/24/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WP0808X |
| License Number: | 200341326RN |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | OR |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Psych/Mental Health |
| Taxonomy Definition: | |