NPI 1093123051

Thien Chuong Richard Ly, MD

Practitioner Psychiatry Physician Corvallis, OR

Practice location

Address: 1112 NW Circle Blvd, Corvallis, OR 97330-1462
Phone: (541) 768-1221
Mailing address: PO Box 1189, Corvallis, OR 97339-1189

Registered specialties

Psychiatry Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2084P0800X Licence MD189729 (OR)

Other Psychiatry & Neurology providers in Oregon →

Registry record

NPI: 1093123051
Entity type: Individual
Sex (as registered): Male
NPI issued: 22 Jul 2014
Record last updated: 16 Aug 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.