| Corvallis Internal Medicine, Pc | |
|
1128 Ne 2nd St Suite 101 Corvallis OR 97330-6230 | |
| (541) 758-0766 | |
| (541) 753-2737 |
| Full Name | Corvallis Internal Medicine, Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1128 Ne 2nd St, Corvallis, Oregon |
| Authorized Official Name and Position | Richard Allen Durling (OWNER) |
| Authorized Official Contact | 5417580766 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Corvallis Internal Medicine, Pc 1128 Ne 2nd St Suite 101 Corvallis OR 97330-6230 Ph: (541) 758-0766 | Corvallis Internal Medicine, Pc 1128 Ne 2nd St Suite 101 Corvallis OR 97330-6230 Ph: (541) 758-0766 |
| NPI Number | 1710172622 |
|---|---|
| Provider Enumeration Date | 09/13/2007 |
| Last Update Date | 03/10/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710172622 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | MD12529 (Oregon) | Primary |
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