Corvallis Pediatrics, LLC

NPI #1720979651 in Corvallis, Oregon

Provider Information

NPI Number: 1720979651
Entity Type: Organization
Organization Name: Corvallis Pediatrics, LLC
Primary Specialty: Clinic/Center - Primary Care
Enumeration Date: Jul 10, 2025
Last Updated: Jul 10, 2025

Practice Location

Address: 1873 NW KINGS BLVD
City: Corvallis
State: Oregon
ZIP Code: 97330-1907
Phone: (541) 745-8715

Authorized Official

Name: KOURTNEY HANKS, FNP-C, CNM
Title: NURSE PRACTITIONER
Phone: (541) 745-8715

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Primary Care — Primary Care	261QP2300X	Primary

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