Individual
DR. WEST LIVAUDAIS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
SALEM HOSPITAL, 665 WINTER STREET SE, SALEM, OR 97309-5014
(503) 561-2448
(503) 561-4759
Mailing address
8899 CHAMPOEG RD NE, SAINT PAUL, OR 97137-9746
(503) 678-6088
(503) 678-6087
Taxonomy
Speciality
Code
Description
License number
State
2086S0127X
Trauma Surgery Physician
Primary
12731
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1087394
—
OR
Enumeration date
09/07/2006
Last updated
07/08/2007
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