IndividualActive
Bao Jorgenson, DO
NPI 1740940089 · Family Medicine Physician · Corvallis, OR
Provider details
- NPI number
- 1740940089
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- DO
- Sex
- Female
- Sole proprietor
- Yes
- License
- PG221022 (OR)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
3600 Nw Samaritan Dr
Corvallis, OR 97330-5472
Phone: (541) 768-4906
Approximate (ZIP-level) locationGet directions
Mailing address
3600 Nw Samaritan Dr
Corvallis, OR 97330-5472
Registry dates
- Enumerated
- 2021-12-28
- Last updated
- 2025-07-21
- Certified
- 2025-07-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.