Individual
DR. JEFFERSON TIU LOA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3600 NW SAMARITAN DR, CORVALLIS, OR 97330-5472
(541) 768-5111
Mailing address
PO BOX 1189, CORVALLIS, OR 97339-1189
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125054001
IL
207R00000X
Internal Medicine Physician
Primary
MD176888
OR
Other
Enumeration date
07/24/2008
Last updated
05/17/2022
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