Whalio Doctors

NPI 1073877858

Russell W Hyde, DO

Practitioner Surgery Physician Corvallis, OR

Practice location

Address
3600 NW Samaritan Dr, Corvallis, OR 97330-5472
Phone
(541) 768-5111
Mailing address
PO Box 1189, Corvallis, OR 97339-1189

Registered specialties (4)

Surgery Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 208600000X Licence DO209456 (OR)
Surgery Physician
Allopathic & Osteopathic Physicians Taxonomy 208600000X Licence 5101025855 (MI)
Trauma Surgery Physician
Allopathic & Osteopathic Physicians Taxonomy 2086S0127X Licence 5101025855 (MI)
Student in an Organized Health Care Education/Training Program
Student, Health Care Taxonomy 390200000X

Registry record

NPI
1073877858
Entity type
Individual
Sex (as registered)
Male
NPI issued
27 Jun 2012
Record last updated
21 Mar 2022

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.