VITALY LAYVANT

SALEM, OR
NPI1043988447
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: OR  PA204341)
Additional Taxonomies208800000X Urology
(Licence: OR  204341)
Enumeration Date2021-08-31
Last Update Date2025-08-20
Business Address
VITALY LAYVANT PA-C
2973 12TH ST SE
SALEM, OR 97302-3162
Phone number: 503-561-7100
Mailing Address
VITALY LAYVANT PA-C
2973 12TH ST SE
SALEM, OR 97302-3162
Phone number: