Corvallis Family Medicine Pc | |
2400 Nw Kings Blvd Corvallis OR 97330 | |
(541) 757-2400 | |
(541) 757-4719 |
Full Name | Corvallis Family Medicine Pc |
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Speciality | Family Medicine |
Location | 2400 Nw Kings Blvd, Corvallis, Oregon |
Authorized Official Name and Position | Aaron Lee David (PRESIDENT) |
Authorized Official Contact | 5417572400 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Corvallis Family Medicine Pc 2400 Nw Kings Blvd Corvallis OR 97330 Ph: (541) 757-2400 | Corvallis Family Medicine Pc 2400 Nw Kings Blvd Corvallis OR 97330 Ph: (541) 757-2400 |
NPI Number | 1841228327 |
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Provider Enumeration Date | 06/30/2006 |
Last Update Date | 06/11/2009 |
Medicare PECOS PAC ID | 8820989700 |
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Medicare Enrollment ID | O20040322000622 |
Identifier | Type | State | Issuer |
---|---|---|---|
1841228327 | NPI | - | NPPES |
287656 | Medicaid | OR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Kelly M Clayton |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1396744769 PECOS PAC ID: 9638151624 Enrollment ID: I20050523001084 |
Provider Name | Lara J Gamelin |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1144390592 PECOS PAC ID: 4385530286 Enrollment ID: I20070217000112 |
Provider Name | Mark Edmond Rampton |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1992771356 PECOS PAC ID: 8325045891 Enrollment ID: I20101213001218 |
Provider Name | Aaron Lee David |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1548236904 PECOS PAC ID: 9335146802 Enrollment ID: I20101214000307 |
Provider Name | Timothy Quiner |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1912989575 PECOS PAC ID: 6608002282 Enrollment ID: I20131204001559 |
Provider Name | Melissa M Calhoun |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1972867091 PECOS PAC ID: 1254651391 Enrollment ID: I20151021003203 |
Provider Name | Brianne Elizabeth Smith |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1235666538 PECOS PAC ID: 8224308804 Enrollment ID: I20201023002031 |
Provider Name | Hayley Christine Steele Schlauderaff |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1942965140 PECOS PAC ID: 9638568512 Enrollment ID: I20211115002144 |
Provider Name | Macy J Holmes |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1265947105 PECOS PAC ID: 6002209483 Enrollment ID: I20220207002187 |
Provider Name | Brady K Moss |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1417214834 PECOS PAC ID: 6204083462 Enrollment ID: I20221221001797 |
Provider Name | Chelsie Kay White |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1801079165 PECOS PAC ID: 4981040391 Enrollment ID: I20240307003359 |
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Frances S. Spiller, D.o., P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2298 Nw Kings Blvd, Corvallis, OR 97330 Phone: 541-207-7982 | |
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