What is Corvallis Psychiatry LLC's NPI number?

Corvallis Psychiatry LLC's National Provider Identifier (NPI) is 1023995768, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What type of organization is Corvallis Psychiatry LLC?

Corvallis Psychiatry LLC is classified in the NPPES registry as Psychiatry Physician (Allopathic & Osteopathic Physicians).

Where is Corvallis Psychiatry LLC located?

Corvallis Psychiatry LLC's practice location on file with NPPES is 5441 S Macadam Ave Ste N, Portland, OR 97239.

What is Corvallis Psychiatry LLC's phone number?

The practice phone number listed in the NPPES registry for Corvallis Psychiatry LLC is (541) 351-7116.

Who is the authorized official for Corvallis Psychiatry LLC?

The authorized official listed on Corvallis Psychiatry LLC's NPPES record is Tyler Fanning, Physician. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.

Is Corvallis Psychiatry LLC's NPI active?

Yes — Corvallis Psychiatry LLC's NPI (1023995768) is active in the NPPES registry as of the last update on 2025-08-15.

OrganizationActive

Corvallis Psychiatry LLC

NPI 1023995768 · Psychiatry Physician · Portland, OR

Corvallis Psychiatry LLC is a Psychiatry Physician organization in Portland, OR (NPI 1023995768).

Provider details

NPI number: 1023995768
Entity type: Organization
Primary specialty: Psychiatry PhysicianAllopathic & Osteopathic Physicians
Organization subpart: No
Authorized official: Tyler Fanning, Physician(541) 351-7116

Practice location

5441 S Macadam Ave Ste N

Portland, OR 97239

Phone: (541) 351-7116

Approximate (ZIP-level) locationGet directions

More OR providers

Mailing address

5441 S Macadam Ave Ste N

Portland, OR 97239

Specialties & taxonomies

Psychiatry PhysicianPrimary2084P0800X
Allopathic & Osteopathic Physicians
Child & Adolescent Psychiatry Physician2084P0804X
Allopathic & Osteopathic Physicians

Other names (DBA / former)

Other name: Corvallis Psychiatry

Profile Score

Established profile(55/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
1 yr 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.

Enumerated: 2025-08-15
Last updated: 2025-08-15
Certified: 2025-08-15

Frequently asked questions

What is Corvallis Psychiatry LLC's NPI number?: Corvallis Psychiatry LLC's National Provider Identifier (NPI) is 1023995768, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
What type of organization is Corvallis Psychiatry LLC?: Corvallis Psychiatry LLC is classified in the NPPES registry as Psychiatry Physician (Allopathic & Osteopathic Physicians).
Where is Corvallis Psychiatry LLC located?: Corvallis Psychiatry LLC's practice location on file with NPPES is 5441 S Macadam Ave Ste N, Portland, OR 97239.
What is Corvallis Psychiatry LLC's phone number?: The practice phone number listed in the NPPES registry for Corvallis Psychiatry LLC is (541) 351-7116.
Who is the authorized official for Corvallis Psychiatry LLC?: The authorized official listed on Corvallis Psychiatry LLC's NPPES record is Tyler Fanning, Physician. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
Is Corvallis Psychiatry LLC's NPI active?: Yes — Corvallis Psychiatry LLC's NPI (1023995768) is active in the NPPES registry as of the last update on 2025-08-15.

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Provider details

Practice location

Mailing address

Specialties & taxonomies

Other names (DBA / former)

Profile Score

Registry dates

Frequently asked questions

Specialties & taxonomies

Other names (DBA / former)

Profile Score

Frequently asked questions