Healthcare Provider Details

I. General information

NPI: 1821030693
Provider Name (Legal Business Name): PATRICIA M. O'HARE M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/13/2006
Last Update Date: 11/18/2025
Certification Date: 11/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1200 QUEEN AVE SE
ALBANY OR
97322-6661
US

IV. Provider business mailing address

1740 NW 9TH ST
CORVALLIS OR
97330-2141
US

V. Phone/Fax

Practice location:
  • Phone: 541-936-3025
  • Fax: 541-936-3026
Mailing address:
  • Phone: 541-230-1350
  • Fax: 541-207-3477

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License NumberMD19092
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: