THE CORVALLIS CLINIC P.C. NPI 1447391727

NPI Information

THE CORVALLIS CLINIC, P.C. is a non pharmacy dispensing site in Corvallis, OR. The provider is a site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) THE CORVALLIS CLINIC, P.C. NPI is 1447391727. The provider is registered as an organization entity type.

The provider's business location address is:

3680 NW SAMARITAN DR
CORVALLIS, OR
ZIP 97330-737
Phone: (541) 754-1150

The provider's authorized official is Kenny Heine .
The authorized official title is Director Of Operations and has the following contact phone number (858) 625-2990.

The CLIA number assigned to this NPI record is 38D2015262 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 2/9/2007 and was last updated on 10/16/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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