Individual
VILCA FAUIKI HAVILI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
790 S MAIN ST, MYRTLE CREEK, OR 97457-9303
(541) 860-4070
Mailing address
150 NE KENNETH FORD DR, ROSEBURG, OR 97470-1042
(541) 672-9596
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
03/06/2023
Last updated
10/21/2025
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