OrganizationActive
Corvallis Pediatrics, LLC
NPI 1720979651 · Primary Care Clinic/Center · Corvallis, OR
Provider details
- NPI number
- 1720979651
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Kourtney Hanks, Nurse Practitioner(541) 745-8715
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
1873 Nw Kings Blvd
Corvallis, OR 97330-1907
Phone: (541) 745-8715
Approximate (ZIP-level) locationGet directions
Mailing address
1873 Nw Kings Blvd
Corvallis, OR 97330-1907
Registry dates
- Enumerated
- 2025-07-10
- Last updated
- 2025-07-10
- Certified
- 2025-07-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.