| Radiant Osteopathy LLC | |
|
456 Sw Monroe Ave Ste 114 Corvallis OR 97333-7207 | |
| (720) 234-7696 | |
| Not Available |
| Full Name | Radiant Osteopathy LLC |
|---|---|
| Speciality | Neuromusculoskeletal Medicine & OMM |
| Location | 456 Sw Monroe Ave Ste 114, Corvallis, Oregon |
| Authorized Official Name and Position | Katherine Merkle (OWNER/PROVIDER) |
| Authorized Official Contact | 5413486946 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Radiant Osteopathy LLC 456 Sw Monroe Ave Ste 114 Corvallis OR 97333-7207 Ph: (541) 348-6946 | Radiant Osteopathy LLC 456 Sw Monroe Ave Ste 114 Corvallis OR 97333-7207 Ph: (720) 234-7696 |
| NPI Number | 1396613170 |
|---|---|
| Provider Enumeration Date | 10/24/2025 |
| Last Update Date | 06/16/2026 |
| Certification Date | 06/16/2026 |
| Medicare PECOS PAC ID | 6608359807 |
|---|---|
| Medicare Enrollment ID | O20260316003719 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396613170 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | () | Secondary |
| 204D00000X | Neuromusculoskeletal Medicine & Omm | () | Primary |
| Provider Name | Katherine E Merkle |
|---|---|
| Provider Type | Practitioner - Other (physician) |
| Provider Identifiers | NPI Number: 1134415292 PECOS PAC ID: 1951624469 Enrollment ID: I20160606002548 |
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