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

Advanced Vascular Therapy LLC

Organization Vascular Surgery Physician · NPI 1356726418

Advanced Vascular Therapy LLC is a Vascular Surgery Physician in Salem, Oregon. Licensed in Oregon. Registered with an NPI since 2015.

Licensed in
OR
In the registry since
2015
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2480 Liberty St NE Ste 110
Salem, OR 97301-8380
Phone: (503) 371-1756
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Vascular Surgery Physician (primary) Taxonomy 2086S0129X · Licence MD150190 (OR)

Record details

NPI number1356726418
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Glen Roseborough — Director · (503) 371-1756
NPI enumeratedJuly 29, 2015
Last updated in NPPESNovember 20, 2015
Mailing address2480 Liberty St Ne, Suite 110, Salem, OR 97301-8380

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