IndividualActive
Lisa Cornelius, DPM
NPI 1174525992 · Podiatrist · Corvallis, OR
Provider details
- NPI number
- 1174525992
- Entity type
- Individual
- Primary specialty
- PodiatristPodiatric Medicine & Surgery Service Providers
- Credential
- DPM
- Sex
- Female
- License
- DP00209 (OR)
Practice location
3640 Nw Samaritan Dr
Corvallis, OR 97330-3784
Phone: (541) 757-7100
Fax: (541) 757-7101
Mailing address
3640 Nw Samaritan Dr
Corvallis, OR 97330-3784
Registry dates
- Enumerated
- 2005-08-11
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.