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General NPI Number Information
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NPI Number | 1679362198
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Entity Type | Organization
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Legal Business Name | THE CORVALLIS CLINIC P C
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Dates
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Enumeration Date | 05/01/2025
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Last Update Date | 09/24/2025
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Provider Practice Location Address
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Address Line | 3680 NW SAMARITAN DR STE 100
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City | CORVALLIS
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State | OR
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Zip | 97330-3737
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Country | US
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Telephone | 541-754-1282
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Fax | 541-967-0054
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Provider Business Mailing Address
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Address Line | 444 NW ELKS DR
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City | CORVALLIS
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State | OR
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Zip | 97330-3745
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Country | US
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Telephone | 702-480-2550
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | MS. EMILY CASTILLO
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Credential |
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Telephone | 702-480-2550
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number |
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License Number State |
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