# THE CORVALLIS CLINIC P C

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- **Entity:** Organization
- **Status:** Active
- **Other names:** The Corvallis Clinic at North Albany
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073758157
- **Authorized official:** EMILY CASTILLO (ASSOCIATE DIRECTOR)
- **Authorized official phone:** (702) 480-2550

## Contact information

- **Practice address:** 633 N ALBANY RD NW, ALBANY, OR 97321-1433
- **Practice address phone:** (541) 926-3441
- **Mailing address:** PO BOX 35380, LAS VEGAS, NV 89133-5380

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332900000X | Non-Pharmacy Dispensing Site | MD28172 | OR | Yes |

## Other

- **Enumeration date:** 12/03/2008
- **Last updated:** 05/11/2026