# THE CORVALLIS CLINIC P C

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** THE CORVALLIS CLINIC P C
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1881850386
- **Legal business name:** THE CORVALLIS CLINIC P C
- **Authorized official:** MR. JAMES KAECH (CEO)
- **Authorized official phone:** (541) 754-1374

## Contact information

- **Practice address:** 601 NW ELKS DRIVE, CORVALLIS, OR 97330-3781
- **Practice address phone:** (541) 754-1254
- **Mailing address:** 444 NW ELKS DR, CORVALLIS, OR 97330-3745
- **Mailing address phone:** (541) 754-1150

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | OR | Yes |

## Other

- **Enumeration date:** 08/04/2008
- **Last updated:** 08/23/2024