Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Vitaly Layvant, PA-C

Individual provider Urology Physician · NPI 1043988447

Vitaly Layvant, PA-C is a Physician Assistant in Salem, Oregon. Qualified in 2021, 5 years ago. Practices with Salem Health, a 479-clinician group and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
5
Licensed in
OR
In the registry since
2021
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

2973 12th St SE
Salem, OR 97302-3162
Phone: (503) 561-7100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA204341 (OR)
Urology Physician Taxonomy 208800000X · Licence 204341 (OR)

Record details

NPI number1043988447
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 31, 2021
Last updated in NPPESAugust 20, 2025
Certification dateAugust 20, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Salem Health — 479 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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