NPI 1740668649
Corvallis Medical Group LLC
Practice location
- Address
- 800 NE Circle Blvd, Corvallis, OR 97330-4256
- Phone
- (541) 286-4742
- Fax
- (833) 450-5933
Authorised official
- Name
- Julia Bull Rask
- Title
- Chief Financial Officer
- Phone
- (541) 368-3032
Registered specialties (2)
Interventional Pain Medicine Physician
Primary
Pain Medicine Physician
Registry record
- NPI
- 1740668649
- Entity type
- Organization
- NPI issued
- 11 May 2015
- Record last updated
- 22 Apr 2024
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.