IndividualActive
Svetlana Vitus
NPI 1154912632 · Family Medicine Physician · Glendale, OR
Provider details
- NPI number
- 1154912632
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Sex
- Female
- Sole proprietor
- Yes
- License
- 202010121NP-PP (OR)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
101 1st St
Glendale, OR 97442-9640
Phone: (541) 832-5400
Approximate (ZIP-level) locationGet directions
Mailing address
1701 Ne 7th St
Grants Pass, OR 97526-1319
Registry dates
- Enumerated
- 2021-01-28
- Last updated
- 2021-04-19
- Certified
- 2021-04-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.