Provider Demographics
NPI:1265233779
Name:KIRSCH, LAYTON (CFSC)
Entity type:Individual
Prefix:
First Name:LAYTON
Middle Name:
Last Name:KIRSCH
Suffix:
Gender:
Credentials:CFSC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:380 HICKORY ST NW
Mailing Address - Street 2:
Mailing Address - City:ALBANY
Mailing Address - State:OR
Mailing Address - Zip Code:97321-1726
Mailing Address - Country:US
Mailing Address - Phone:541-812-3300
Mailing Address - Fax:
Practice Address - Street 1:380 HICKORY ST NW
Practice Address - Street 2:
Practice Address - City:ALBANY
Practice Address - State:OR
Practice Address - Zip Code:97321-1726
Practice Address - Country:US
Practice Address - Phone:541-812-3300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-20
Last Update Date:2025-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR2999596171400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach