Individual
JILL M PROVAZNIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3640 NW SAMARITAN DR STE 210, CORVALLIS, OR 97330-3787
(541) 768-5810
Mailing address
PO BOX 1189, CORVALLIS, OR 97339-1189
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD189615
OR
207RI0200X
Infectious Disease Physician
11262304-1205
UT
207RI0200X
Infectious Disease Physician
Primary
MD189615
OR
Other
Enumeration date
06/04/2015
Last updated
05/12/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us