| Ms Kathryn I Mcquillan, MD | |
| 3680 Nw Samaritan Dr, Corvallis, OR 97330-3737 | |
| (541) 754-1150 | |
| Not Available | 
| Full Name | Ms Kathryn I Mcquillan | 
|---|---|
| Gender | Female | 
| Speciality | Pediatrics | 
| Location | 3680 Nw Samaritan Dr, Corvallis, Oregon | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1154547297 | NPI | - | NPPES | 
| 500607933 | Medicaid | OR | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 208000000X | Pediatrics | MD29262 (Oregon) | Primary | 
| Entity Name | The Corvallis Clinic P C | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1649227265 PECOS PAC ID: 1456244540 Enrollment ID: O20040203000916 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Ms Kathryn I Mcquillan, MD 444 Nw Elks Dr, Corvallis, OR 97330-3745 Ph: (541) 754-1150 | Ms Kathryn I Mcquillan, MD 3680 Nw Samaritan Dr, Corvallis, OR 97330-3737 Ph: (541) 754-1150 | 
| Dr. Destiny Jennifer Gmelch, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 3600 Nw Samaritan Dr, Corvallis, OR 97330 Phone: 541-768-5111 | |
| Chinh T. Le, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 530 Nw 27th St, Corvallis, OR 97330 Phone: 541-766-6835 | |
| Elizabeth Ranae Davis, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 3680 Nw Samaritan Dr, Corvallis, OR 97330 Phone: 541-754-1150 | |
| Wayne Joseph Merback, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 3600 Nw Samaritan Dr, Corvallis, OR 97330 Phone: 541-768-5111 | |
| Dr. Lon Mcquillan, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 777 Nw 9th St, Suite 320, Corvallis, OR 97330 Phone: 541-768-4900 | |
| Jill A Miller, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 3680 Nw Samaritan Dr, Corvallis, OR 97330 Phone: 541-754-1150 |