Individual
IAN CAVIGLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1401 N 10TH AVE STE 100, STAYTON, OR 97383-1486
(503) 769-6386
(503) 769-5647
Mailing address
1401 N 10TH AVE STE 100, STAYTON, OR 97383-1486
(503) 769-6386
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA224199
OR
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
12/30/2024
Last updated
05/30/2025
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