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THE CORVALLIS CLINIC AT NORTH ALBANY VILLAGE NPI 1073758157


NPI Information

NPI: 1073758157
Provider Name: THE CORVALLIS CLINIC AT NORTH ALBANY VILLAGE
Classification: Non-Pharmacy Dispensing Site - 332900000X
Entity Type: Organization
Address:
633 N ALBANY RD NW
ALBANY, OR
ZIP 97321
Phone: (541) 926-3441
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THE CORVALLIS CLINIC AT NORTH ALBANY VILLAGE is a non pharmacy dispensing site in Albany, OR. The provider is a site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) THE CORVALLIS CLINIC AT NORTH ALBANY VILLAGE NPI is 1073758157. The provider is registered as an organization entity type.

The provider's business location address is:

633 N ALBANY RD NW
ALBANY, OR
ZIP 97321-433
Phone: (541) 926-3441

The provider's authorized official is Kenny Heine .
The authorized official title is Director Of Operations and has the following contact phone number (858) 625-2990.

The enumeration date for this NPI number is 12/3/2008 and was last updated on 12/3/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332900000XNon-Pharmacy Dispensing SiteMD28172OREGONYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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