| Independent Osteopathic Manipulation | |
|
456 Sw Washington Ave Corvallis OR 97333-4405 | |
| (541) 223-9720 | |
| (541) 264-5591 |
| Full Name | Independent Osteopathic Manipulation |
|---|---|
| Speciality | Family Medicine |
| Location | 456 Sw Washington Ave, Corvallis, Oregon |
| Authorized Official Name and Position | Nathanael Cletus Weigel (PROVIDER) |
| Authorized Official Contact | 5412239720 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Independent Osteopathic Manipulation 456 Sw Washington Ave Corvallis OR 97333-4405 Ph: (541) 223-9720 | Independent Osteopathic Manipulation 456 Sw Washington Ave Corvallis OR 97333-4405 Ph: (541) 223-9720 |
| NPI Number | 1992549455 |
|---|---|
| Provider Enumeration Date | 06/20/2024 |
| Last Update Date | 06/20/2024 |
| Certification Date | 06/20/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992549455 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
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