Corvallis Clinic PC

NPI #1710751425 in Newport, Oregon

Provider Information

NPI Number
1710751425
Entity Type
Organization
Organization Name
Corvallis Clinic PC
Subpart
Yes (part of a larger organization)
Parent Organization
CORVALLIS CLINIC PC
Primary Specialty
Durable Medical Equipment & Medical Supplies
Enumeration Date
Nov 13, 2023
Last Updated
Jan 25, 2024

Practice Location

Address
1111 SW 10TH ST STE B
State
Oregon
ZIP Code
97365-5235
Phone
(541) 754-1268

Authorized Official

Name
MR. JAMES KAECH
Title
CHIEF EXECUTIVE OFFICER
Phone
(541) 754-1374

Specialties & Taxonomy Codes

Specialty
Durable Medical Equipment & Medical Supplies

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