Advanced Vascular Therapy LLC
NPI 1356726418 · Vascular Surgery Physician · Salem, OR
Advanced Vascular Therapy LLC is a Vascular Surgery Physician organization in Salem, OR (NPI 1356726418).
Provider details
- NPI number
- 1356726418
- Entity type
- Organization
- Primary specialty
- Vascular Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Glen Roseborough, Director(503) 371-1756
- License
- MD150190 (OR)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2015-07-29
- Last updated
- 2015-11-20
Frequently asked questions
- What is Advanced Vascular Therapy LLC's NPI number?
- Advanced Vascular Therapy LLC's National Provider Identifier (NPI) is 1356726418, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Advanced Vascular Therapy LLC?
- Advanced Vascular Therapy LLC is classified in the NPPES registry as Vascular Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Advanced Vascular Therapy LLC located?
- Advanced Vascular Therapy LLC's practice location on file with NPPES is 2480 Liberty St Ne, Salem, OR 97301-8380.
- What is Advanced Vascular Therapy LLC's phone number?
- The practice phone number listed in the NPPES registry for Advanced Vascular Therapy LLC is (503) 371-1756.
- Who is the authorized official for Advanced Vascular Therapy LLC?
- The authorized official listed on Advanced Vascular Therapy LLC's NPPES record is Glen Roseborough, Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Advanced Vascular Therapy LLC's NPI active?
- Yes — Advanced Vascular Therapy LLC's NPI (1356726418) is active in the NPPES registry as of the last update on 2015-11-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.