Provider Demographics
NPI:1962212670
Name:VEGA, ALINE G
Entity type:Individual
Prefix:
First Name:ALINE
Middle Name:G
Last Name:VEGA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12925 SW BARLOW RD
Mailing Address - Street 2:
Mailing Address - City:BEAVERTON
Mailing Address - State:OR
Mailing Address - Zip Code:97008-5146
Mailing Address - Country:US
Mailing Address - Phone:503-334-5726
Mailing Address - Fax:
Practice Address - Street 1:12925 SW BARLOW RD
Practice Address - Street 2:
Practice Address - City:BEAVERTON
Practice Address - State:OR
Practice Address - Zip Code:97008-5146
Practice Address - Country:US
Practice Address - Phone:503-334-5726
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-14
Last Update Date:2025-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula