Advanced Vascular Therapy LLC
Healthcare Provider in Salem, Oregon
1356726418- Practice location
- 2480 Liberty St NE, Suite 110, Salem, OR 97301-8380
- Phone
- 503-371-1756
- Fax
- —
- Last updated
- November 20, 2015
Advanced Vascular Therapy LLC is a healthcare organization based in Salem, OR. The NPI number for Advanced Vascular Therapy LLC is 1356726418 and holds license No. MD150190 (OR). The current practice location address is 2480 Liberty St NE, Suite 110, Salem, OR 97301-8380 and the office can be reached by phone at 503-371-1756. The NPI was assigned on July 29, 2015 and the record was last updated in NPPES on November 20, 2015.
●Provider Profile Details
- NPI Number
- 1356726418
- Provider Name
- Advanced Vascular Therapy LLC
- Entity Type
- Organization (Type 2 NPI)
- Primary Taxonomy
- Healthcare Provider · 2086S0129X
- Organization Subpart
- No
- Authorized Official
- Glen S Roseborough, MD · Director · 503-371-1756
- Enumeration Date
- July 29, 2015
- Last Update Date
- November 20, 2015
- NPI Status
- Active
◉Business Practice Location Address
- Address
- 2480 Liberty St NE
Suite 110
Salem, OR 97301-8380 - City
- Salem
- State
- Oregon
- ZIP
- 97301-8380
- Country
- US
- Phone Number
- 503-371-1756
✉Business Mailing Address
- Address
- 2480 Liberty St NE
Suite 110
Salem, OR 97301-8380 - City
- Salem
- State
- OR
- ZIP
- 97301-8380
- Phone Number
- 503-371-1756
✎Taxonomy & License Information
#Other Provider Identifiers
No legacy or other identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.
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View all providers in Salem →?Frequently Asked Questions
What is the NPI number of Advanced Vascular Therapy LLC?
The NPI number of Advanced Vascular Therapy LLC is 1356726418. It was assigned on July 29, 2015 and is currently active in the NPPES registry.
What is the specialty of Advanced Vascular Therapy LLC?
Advanced Vascular Therapy LLC is registered under the primary taxonomy Healthcare Provider (code 2086S0129X) and holds license No. MD150190 (OR).
Where does Advanced Vascular Therapy LLC practice?
The practice location is 2480 Liberty St NE, Suite 110, Salem, OR 97301-8380. The office can be reached at 503-371-1756 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1356726418 directly on the NPPES registry website at npiregistry.cms.hhs.gov.