Individual
KAREN L MACEWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2314 NW KINGS BLVD, CORVALLIS, OR 97330-3925
(541) 758-5047
(541) 758-3713
Mailing address
2314 NW KINGS BLVD, PO BOX 1418, CORVALLIS, OR 97330-3925
(541) 758-5047
(541) 758-3713
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD20985
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
150955
—
OR
Enumeration date
04/28/2006
Last updated
11/05/2020
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