Individual
DR. DOUGLAS B. THAYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3517 NW SAMARITAN DR STE 201, CORVALLIS, OR 97330-3769
(541) 768-5142
Mailing address
PO BOX 1188, CORVALLIS, OR 97339-1188
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD19396
OR
Other
Enumeration date
06/28/2006
Last updated
07/02/2021
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