| Ambassador's Health Alliance | |
|
310 Nw 5th St Corvallis OR 97330-4842 | |
| (541) 757-2200 | |
| (541) 824-4200 |
| Full Name | Ambassador's Health Alliance |
|---|---|
| Speciality | Family Medicine |
| Location | 310 Nw 5th St, Corvallis, Oregon |
| Authorized Official Name and Position | Tobin D Rummel (OWNER) |
| Authorized Official Contact | 5417572200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ambassador's Health Alliance 310 Nw 5th St Corvallis OR 97330-4842 Ph: (541) 757-2200 | Ambassador's Health Alliance 310 Nw 5th St Corvallis OR 97330-4842 Ph: (541) 757-2200 |
| NPI Number | 1881125284 |
|---|---|
| Provider Enumeration Date | 03/27/2017 |
| Last Update Date | 03/27/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881125284 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | DO157483 (Oregon) | Primary |
| 363LF0000X | Nurse Practitioner - Family | 200750145NP (Oregon) | Secondary |
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