Organization
CORVALLIS FAMILY MEDICINE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AARON LEE DAVID DO (PRESIDENT)
(541) 757-2400
Entity
Organization
Contact information
Practice address
2400 NW KINGS BLVD, CORVALLIS, OR 97330
(541) 757-2400
(541) 757-4719
Mailing address
2400 NW KINGS BLVD, CORVALLIS, OR 97330
(541) 757-2400
(541) 757-4719
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
287656
—
OR
Enumeration date
06/30/2006
Last updated
06/11/2009
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