| Valley Clinics Internal Medicine | |
|
981 Nw Spruce Ave Corvallis OR 97330-2111 | |
| (541) 758-0766 | |
| (541) 753-2737 |
| Full Name | Valley Clinics Internal Medicine |
|---|---|
| Speciality | Clinic/Center |
| Location | 981 Nw Spruce Ave, Corvallis, Oregon |
| Authorized Official Name and Position | Casandra Zosel (OFFICE MANAGER) |
| Authorized Official Contact | 5417580766 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Valley Clinics Internal Medicine 981 Nw Spruce Ave Corvallis OR 97330-2111 Ph: (541) 758-0766 | Valley Clinics Internal Medicine 981 Nw Spruce Ave Corvallis OR 97330-2111 Ph: (541) 758-0766 |
| NPI Number | 1457842833 |
|---|---|
| Provider Enumeration Date | 05/22/2018 |
| Last Update Date | 10/08/2018 |
| Medicare PECOS PAC ID | 4981943776 |
|---|---|
| Medicare Enrollment ID | O20190221001573 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457842833 | NPI | - | NPPES |
| Provider Name | Donald Noel Gallup |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568499663 PECOS PAC ID: 9830177641 Enrollment ID: I20040708001380 |
| Provider Name | Tien Thuy Le |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144651043 PECOS PAC ID: 9537472394 Enrollment ID: I20150914003089 |
| Provider Name | Tara Lee Jones |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669802161 PECOS PAC ID: 8325330483 Enrollment ID: I20160711000532 |
| Provider Name | Renee Del Rio |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1811053283 PECOS PAC ID: 7618049008 Enrollment ID: I20161221000540 |
| Provider Name | Tara Lee Jones |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669802161 PECOS PAC ID: 8325330483 Enrollment ID: I20170421000330 |
| Provider Name | Dawn A O'connor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730295791 PECOS PAC ID: 4486820990 Enrollment ID: I20200225000784 |
| Provider Name | Shauna Ann Alloway |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356775050 PECOS PAC ID: 8325422355 Enrollment ID: I20220825000671 |
| Provider Name | Kayla Marie Freitas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972646271 PECOS PAC ID: 4688084585 Enrollment ID: I20221207002244 |
| Provider Name | Christopher Broadbent |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1265831465 PECOS PAC ID: 6901258078 Enrollment ID: I20240115001318 |
| Provider Name | Rex W Turner |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1003840620 PECOS PAC ID: 0840637112 Enrollment ID: I20240321003379 |
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