Individual
DR. MARISA STOLLER BRANDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3600 NW SAMARITAN DR, CORVALLIS, OR 97330-5472
(541) 768-5111
Mailing address
PO BOX 1189, CORVALLIS, OR 97339-1189
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
A101202
CA
207L00000X
Anesthesiology Physician
Primary
MD152658
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500627460
—
OR
Enumeration date
09/22/2007
Last updated
07/21/2023
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