Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SVETLANA VITUS
Active Sole ProprietorSVETLANA VITUS is a Family Medicine healthcare provider located in GLENDALE, Oregon. NPI 1154912632 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · GLENDALE, OR
Registration Details
- NPI Number
- 1154912632
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 28, 2021 (5.5610325662812 yrs)
- Last Updated
- Apr 19, 2021
- License
-
202010121NP-PP (OR)
- Sole Proprietor
- Yes
Practice Information
- Address
-
101 1ST STGLENDALE, OR, 974429640Browse OR providers · Browse ZIP 97442
- Phone
- 5418325400
- Primary Specialty
-
Family Medicine
207Q00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.