CORVALLIS GASTROENTEROLOGY PC NPI 1124075627

NPI Information

  • NPI: 1124075627
  • Provider Name: CORVALLIS GASTROENTEROLOGY PC
  • Classification: Specialist - 174400000X
  • Entity Type: Organization
  • Address: 3521 NW SAMARITAN DR
    SUITE 101
    CORVALLIS, OR
    ZIP 97330
  • Phone: (541) 768-6119

Map and Directions

Get Directions

NPI Details

CORVALLIS GASTROENTEROLOGY PC is a specialist in Corvallis, OR. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. CORVALLIS GASTROENTEROLOGY PC NPI is 1124075627. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3521 NW SAMARITAN DR
SUITE 101
CORVALLIS, OR
ZIP 97330-744
Phone: (541) 768-6119
Fax: (541) 768-6120

The provider's authorized official is Surinder Mohan Vasdev .
The authorized official title is President and has the following contact phone number (541) 768-6116.

The enumeration date for this NPI number is 5/28/2006 and was last updated on 10/9/2012.

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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialistOREGONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1112083MEDICARE PINOREGON
2240038MEDICAIDOREGON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI