Organization
THE CORVALLIS CLINIC P C
Active
Organization
THE CORVALLIS CLINIC P C
Active
Other names
Corvallis Clinic Philomath DME only, Corvallis Clinic Philomath
Organization subpart
No
Provider details
NPI number
Authorized official
EMILY CASTILLO (ASSOCIATE DIRECTOR)
(702) 480-2550
Entity
Organization
Contact information
Practice address
500 MAIN ST, PHILOMATH, OR 97370-9707
(541) 754-1272
Mailing address
PO BOX 35380, LAS VEGAS, NV 89133-5380
(541) 754-1374
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
11/13/2023
Last updated
05/11/2026
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