Organization
THE CORVALLIS CLINIC P C
Active
Organization
THE CORVALLIS CLINIC P C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. EMILY CASTILLO (ASSOCIATE DIRECTOR CREDENTIALING, O)
(702) 480-2250
Entity
Organization
Contact information
Practice address
444 NW ELKS DR, CORVALLIS, OR 97330-3745
(541) 754-1150
Mailing address
444 NW ELKS DR, CORVALLIS, OR 97330-3745
(541) 754-1150
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
043158
—
OR
Enumeration date
05/28/2006
Last updated
06/27/2025
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