VITALY LAYVANT PA-C
Individual Provider (NPI-1)
Active
Physician Assistant
Provider Information
- NPI Number
1043988447- Provider Type
- Individual Provider (NPI-1)
- Credentials
- PA-C
- Status
- Active
Contact & Location
- Address
- 2973 12TH ST SE, SALEM, OR, 973023162
- Phone
- (503) 561-7100
Specialties & Taxonomies
Urology
License: OR #204341
Physician Assistant
Primary License: OR #PA204341
All Addresses
MAILING
2973 12TH ST SE
SALEM, OR, 973023162