IndividualActive
Michael Mccusker, P. A.-C
NPI 1013096684 · Medical Physician Assistant · Corvallis, OR
Provider details
- NPI number
- 1013096684
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- P. A.-C
- Sex
- Male
- Sole proprietor
- No
- License
- PA01335 (OR)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
530 Nw 27th St
Corvallis, OR 97330-5223
Phone: (541) 766-6611
Fax: (541) 766-6186
Street-level locationGet directions
Mailing address
981 Nw Spruce Ave
Corvallis, OR 97330-2111
Registry dates
- Enumerated
- 2006-11-03
- Last updated
- 2023-03-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.