Individual
CHRISTOPHER BRYAN SMALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3600 NW SAMARITAN DR, CORVALLIS, OR 97330-3737
(541) 768-5111
Mailing address
PO BOX 1189, CORVALLIS, OR 97339-1189
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD178977
OR
208M00000X
Hospitalist Physician
MD178977
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500715750
—
OR
01
—
R190924
MEDICARE
OR
Enumeration date
05/08/2013
Last updated
07/21/2022
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