| Corvallis Family Medicine Pc | |
|
2400 Nw Kings Blvd Corvallis OR 97330 | |
| (541) 757-2400 | |
| (541) 757-4719 |
| Full Name | Corvallis Family Medicine Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 2400 Nw Kings Blvd, Corvallis, Oregon |
| Authorized Official Name and Position | Aaron Lee David (PRESIDENT) |
| Authorized Official Contact | 5417572400 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Corvallis Family Medicine Pc 2400 Nw Kings Blvd Corvallis OR 97330 Ph: (541) 757-2400 | Corvallis Family Medicine Pc 2400 Nw Kings Blvd Corvallis OR 97330 Ph: (541) 757-2400 |
| NPI Number | 1841228327 |
|---|---|
| Provider Enumeration Date | 06/30/2006 |
| Last Update Date | 06/11/2009 |
| Medicare PECOS PAC ID | 8820989700 |
|---|---|
| Medicare Enrollment ID | O20040322000622 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841228327 | NPI | - | NPPES |
| 287656 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Kelly M Clayton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396744769 PECOS PAC ID: 9638151624 Enrollment ID: I20050523001084 |
| Provider Name | Lara J Gamelin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144390592 PECOS PAC ID: 4385530286 Enrollment ID: I20070217000112 |
| Provider Name | Mark Edmond Rampton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992771356 PECOS PAC ID: 8325045891 Enrollment ID: I20101213001218 |
| Provider Name | Aaron Lee David |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548236904 PECOS PAC ID: 9335146802 Enrollment ID: I20101214000307 |
| Provider Name | Timothy Quiner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912989575 PECOS PAC ID: 6608002282 Enrollment ID: I20131204001559 |
| Provider Name | Christopher W. Leesman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982981809 PECOS PAC ID: 2961649199 Enrollment ID: I20150526001537 |
| Provider Name | Melissa M Calhoun |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972867091 PECOS PAC ID: 1254651391 Enrollment ID: I20151021003203 |
| Provider Name | Brianne Elizabeth Smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235666538 PECOS PAC ID: 8224308804 Enrollment ID: I20201023002031 |
| Provider Name | Hayley Christine Steele Schlauderaff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942965140 PECOS PAC ID: 9638568512 Enrollment ID: I20211115002144 |
| Provider Name | Macy J Holmes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265947105 PECOS PAC ID: 6002209483 Enrollment ID: I20220207002187 |
| Provider Name | Brady K Moss |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417214834 PECOS PAC ID: 6204083462 Enrollment ID: I20221221001797 |
| Provider Name | Chelsie Kay White |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1801079165 PECOS PAC ID: 4981040391 Enrollment ID: I20240307003359 |
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Samaritan Endocrinology Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3615 Nw Samaritan Dr Ste G2, Corvallis, OR 97330 Phone: 541-768-7900 | |
Village Healthcare Of Corvallis Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 656 Nw Mirador Pl, Corvallis, OR 97330 Phone: 541-624-2040 Fax: 503-200-2258 | |
Frances S. Spiller, D.o., P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2298 Nw Kings Blvd, Corvallis, OR 97330 Phone: 541-207-7982 | |
Vertebrata Chiropractic, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 107 Sw 2nd St, Corvallis, OR 97333 Phone: 541-363-3100 Fax: 866-572-0412 |