NPI 1033857842
Fulcrum Osteopathic, LLC
Practice location
- Address
- 525 NW 2nd St, Corvallis, OR 97330-6487
- Phone
- (541) 250-5994
- Fax
- (541) 638-4002
Authorised official
- Name
- Matthew Patrick Evitts
- Title
- Owner/Member
- Phone
- (541) 250-5994
Registered specialties (2)
Neuromusculoskeletal Medicine & OMM Physician
Primary
Diagnostic Radiology Physician
Registry record
- NPI
- 1033857842
- Entity type
- Organization
- NPI issued
- 23 May 2022
- Record last updated
- 29 Dec 2023
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.