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Individual

JOHN NARCISO NAVARRO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
3680 NW SAMARITAN DR, CORVALLIS, OR 97330-3737
(541) 754-1150
Mailing address
444 NW ELKS DR, CORVALLIS, OR 97330-3745
(541) 754-1150

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
18407
CA
363A00000X
Physician Assistant
Primary
PA01349
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
500602884
OR
Enumeration date
07/06/2006
Last updated
11/17/2015
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