NPI 1023995768

Corvallis Psychiatry LLC

Organisation Psychiatry Physician Portland, OR

Practice location

Address: 5441 S Macadam Ave STE N, Portland, OR 97239
Phone: (541) 351-7116

Authorised official

Name: Tyler Fanning
Title: Physician
Phone: (541) 351-7116

Registered specialties (2)

Psychiatry Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2084P0800X

Other Psychiatry & Neurology providers in Oregon →

Child & Adolescent Psychiatry Physician

Allopathic & Osteopathic Physicians Taxonomy 2084P0804X

Registry record

NPI: 1023995768
Entity type: Organization
NPI issued: 15 Aug 2025
Record last updated: 15 Aug 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.