Corvallis Clinic PC
NPI #1891569505 in Lincoln City, Oregon
Provider Information
- NPI Number
- 1891569505
- 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
- 3011 NE WEST DEVILS LAKE RD
- City
- Lincoln City
- State
- Oregon
- ZIP Code
- 97367-5131
- 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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