| Tiara F Packer, PA-C | |
|
3620 Nw Samaritan Drive, Suite 202, Corvallis, OR 97330 | |
| (541) 768-4810 | |
| Not Available |
| Full Name | Tiara F Packer |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant - Surgical |
| Location | 3620 Nw Samaritan Drive, Corvallis, Oregon |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447313010 | NPI | - | NPPES |
| 01Y005045NH03 | Other | NH | ANTHEM BCBS MOA |
| 30334821 | Medicaid | NH | |
| 01Y005045NH02 | Other | NH | ANTHEM BCBS MCH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AS0400X | Physician Assistant - Surgical | 0614 (New Hampshire) | Secondary |
| 363AS0400X | Physician Assistant - Surgical | PA130018 (Oregon) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Tiara F Packer, PA-C 3620 Nw Samaritan Drive, Suite 202, Corvallis, OR 97330 Ph: (541) 768-4810 | Tiara F Packer, PA-C 3620 Nw Samaritan Drive, Suite 202, Corvallis, OR 97330 Ph: (541) 768-4810 |
Michael J Mccusker, P. A.-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 530 Nw 27th St, Corvallis, OR 97330 Phone: 541-766-6611 Fax: 541-766-6186 | |
Ms. Stacie Marie Fulcher, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 444 Nw Elks Drive, Corvallis, OR 97330 Phone: 541-754-1256 Fax: 360-597-1472 | |
Gregory Miller, Physician Assistant Medicare: Medicare Enrolled Practice Location: 3640 Nw Samaritan Dr Ste 100, Corvallis, OR 97330 Phone: 541-768-5205 | |
Taylor Frank, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 3640 Nw Samaritan Dr Ste 120, Corvallis, OR 97330 Phone: 541-768-5223 | |
John Narciso Navarro, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3680 Nw Samaritan Dr, Corvallis, OR 97330 Phone: 541-754-1150 | |
Beth Anne Rathbun, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 444 Nw Elks Dr, Corvallis, OR 97330 Phone: 541-754-1287 | |
Ms. Annemarie Boyd, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 3680 Nw Samaritan Dr, Corvallis, OR 97330 Phone: 541-754-1150 |