Individual
BRIAN LANTOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1235 NW 11TH ST, CORVALLIS, OR 97330-4616
(818) 836-2597
Mailing address
1235 NW 11TH ST, CORVALLIS, OR 97330-4616
(818) 836-2597
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
PG177239
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
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Other
Enumeration date
10/06/2015
Last updated
09/26/2023
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