Individual
DR. DAVID J IRVINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1700 GEARY ST SE, ALBANY, OR 97322-6842
(541) 812-5500
Mailing address
PO BOX 1188, CORVALLIS, OR 97339-1188
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD14290
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
119305
—
OR
Enumeration date
11/20/2006
Last updated
11/03/2020
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