OrganizationActive
Corvallis Medical Group LLC
NPI 1740668649 · Interventional Pain Medicine Physician · Corvallis, OR
Provider details
- NPI number
- 1740668649
- Entity type
- Organization
- Primary specialty
- Interventional Pain Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Julia Rask, Chief Financial Officer(541) 368-3032
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Pain Medicine Physician208VP0000X
Allopathic & Osteopathic Physicians
Practice location
800 Ne Circle Blvd
Corvallis, OR 97330-4256
Phone: (541) 286-4742
Fax: (833) 450-5933
Approximate (ZIP-level) locationGet directions
Mailing address
800 Ne Circle Blvd
Corvallis, OR 97330-4256
Other names (DBA / former)
- Doing business as
- Corvallis Pain Management
Registry dates
- Enumerated
- 2015-05-11
- Last updated
- 2024-04-22
- Certified
- 2024-04-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.