Susan A Corcoran, FNP, CNM | |
3640 Nw Samaritan Dr Ste 220, Corvallis, OR 97330-3784 | |
(541) 768-5300 | |
Not Available |
Full Name | Susan A Corcoran |
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Gender | Female |
Speciality | Nurse Practitioner |
Location | 3640 Nw Samaritan Dr Ste 220, 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 |
---|---|---|---|
1902863467 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367A00000X | Advanced Practice Midwife | 200350064NP NMNP (Oregon) | Secondary |
363L00000X | Nurse Practitioner | 236347 (California) | Primary |
Entity Name | Legacy Clinics Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1902827272 PECOS PAC ID: 0244144004 Enrollment ID: O20031117000089 |
Entity Name | Good Samaritan Hospital Corvallis |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1962453134 PECOS PAC ID: 1557270725 Enrollment ID: O20031125000163 |
Mailing Address | Practice Location Address |
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Susan A Corcoran, FNP, CNM Po Box 1189, Corvallis, OR 97339-1189 Ph: () - | Susan A Corcoran, FNP, CNM 3640 Nw Samaritan Dr Ste 220, Corvallis, OR 97330-3784 Ph: (541) 768-5300 |
Ms. Kim Schlessinger, ANP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3600 Nw Samaritan Dr, Corvallis, OR 97330 Phone: 541-768-6687 Fax: 541-768-5424 | |
Kourtney L Hanks, CNM/FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3680 Nw Samaritan Dr, Corvallis, OR 97330 Phone: 541-754-1150 | |
Ms. Maria R. Clark-harmon, ANP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3521 Nw Samaritan Dr, Suite 201, Corvallis, OR 97330 Phone: 541-768-5140 | |
Ms. Sherry Ruth Goeden Vi, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 121 Se Viewmont Ave, Corvallis, OR 97333 Phone: 541-766-3546 Fax: 541-766-6143 | |
Christy M Rummel, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1760 Sw 3rd St, Corvallis, OR 97333 Phone: 541-207-3773 Fax: 800-549-1017 | |
Ms. Christine Dawn Gallagher, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3640 Nw Samaritan Dr Ste 100, Corvallis, OR 97330 Phone: 541-768-5205 | |
Ruth S Palma, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3680 Nw Samaritan Dr, Corvallis, OR 97330 Phone: 541-754-1150 |