# THE CORVALLIS CLINIC P C

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1649227265
- **Authorized official:** MS. EMILY CASTILLO (ASSOCIATE DIRECTOR CREDENTIALING, O)
- **Authorized official phone:** (702) 480-2250

## Contact information

- **Practice address:** 444 NW ELKS DR, CORVALLIS, OR 97330-3745
- **Practice address phone:** (541) 754-1150
- **Mailing address:** 444 NW ELKS DR, CORVALLIS, OR 97330-3745
- **Mailing address phone:** (541) 754-1150

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 156FX1800X | Optician | — | NULL | — |
| 156FX1800X | Optician | — | — | — |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 05/28/2006
- **Last updated:** 06/27/2025