# NORTHWEST VASCULAR SPECIALISTS, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1548947211
- **Authorized official:** CRAIG SEIDMAN MD (PRESIDENT)
- **Authorized official phone:** (541) 868-9880

## Contact information

- **Practice address:** 1 HAYDEN BRIDGE WAY STE B, SPRINGFIELD, OR 97477-1347
- **Practice address phone:** (541) 868-9880
- **Mailing address:** 1 HAYDEN BRIDGE WAY STE B, SPRINGFIELD, OR 97477-1347

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0129X | Vascular Surgery Physician | — | NULL | Yes |
| 2086S0129X | Vascular Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/03/2023
- **Last updated:** 08/08/2023