Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. David Mark Vitello, AGPCNP

Individual provider Acupuncturist · NPI 1811038755

Mr. David Mark Vitello, AGPCNP is a Nurse Practitioner in Portland, Oregon. Qualified in 2014, 12 years ago. Practices with Northwest Primary Care Group PC, a 44-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Oregon.

Years since qualifying
12
Licensed in
OR
In the registry since
2007
Specialties on file
2
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Practice location Address checks out

3303 SW Bond Ave
Portland, OR 97239-4501
Phone: (503) 418-7246
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 201507396NP-PP (OR)
Acupuncturist Taxonomy 171100000X · Licence AC175336 (OR)

Record details

NPI number1811038755
Entity typeIndividual (Type 1)
GenderMale
Credentials AGPCNP
Sole proprietorNo
NPI enumeratedFebruary 12, 2007
Last updated in NPPESApril 16, 2020
Certification dateApril 16, 2020
Mailing addressPo Box 22075, Milwaukie, OR 97269-2075

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Northwest Primary Care Group Pc — 44 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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