The Villa Medical Group PLLC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

Legal business name

THE VILLA MEDICAL GROUP PLLC

Practice address

15203 NE 72ND Ave
Vancouver, WA 98686-1929

Phone

(360) 209-4449

NPI assigned

Jun 12, 2026

Last updated

Jun 12, 2026By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Daniel Roa-Trebol

Title

Owner

Phone

(541) 720-8789

Specialties & licenses 1

Addresses

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Chet Franklin, L.AC

  • Registered Nurse
  • Portland, OR
  • NPI 1558734285
  NPD
• Amber Lynn Barbieri

  • Mental Health Counselor
  • Vancouver, WA
  • NPI 1467340281
  NPD (past)
• Mitchell Mayes

  • Psychiatric/Mental Health Nurse Practitioner
  • Vancouver, WA
  • NPI 1598633984
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1781222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781222400000",
    "number": "1306771373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15203 NE 72ND AVE",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986861929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15203 NE 72ND AVE",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986861929",
            "telephone_number": "360-209-4449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE VILLA MEDICAL GROUP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-12",
        "last_updated": "2026-06-12",
        "certification_date": "2026-06-12",
        "status": "A",
        "authorized_official_last_name": "ROA-TREBOL",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-720-8789"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The Vancouver Clinic Inc PS
• The Vancouver Clinic Inc PS (The Vancouver Clinic)
• The Vancouver Clinic Pharmacy
• The Vancouver Clinic, Inc. PS (The Vancouver Clinic)
• The Villa Health PLLC
• The Womens Clinic of Vancouver PS
• The Wright Balance LLC
• Caitlyn Theis
• Kathryn Elizabeth Thellman, FNP-C
• Theodore M Fujioka, DMD, PS

• Medical Specialty Clinic/Center in Vancouver, WA
• Providers in Vancouver, WA by specialty
• Medical Specialty Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.