Jill M Provaznik, MD

NPI #1992185995 in Corvallis, Oregon

Provider Information

NPI Number: 1992185995
Entity Type: Individual
Name: Jill M Provaznik, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Internal Medicine
Credential: MD
Enumeration Date: Jun 4, 2015
Last Updated: May 12, 2023

Practice Location

Address: 3640 NW SAMARITAN DR STE 210
City: Corvallis
State: Oregon
ZIP Code: 97330-3787
Phone: (541) 768-5810

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary
Internal Medicine - Infectious Disease — Infectious Disease	207RI0200X

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