Individual
DANIEL EBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
5234 SW PHILOMATH BLVD, CORVALLIS, OR 97333-1042
(541) 768-4970
Mailing address
PO BOX 1189, CORVALLIS, OR 97339-1189
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
PG194181
OR
Other
Enumeration date
06/07/2018
Last updated
09/16/2022
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