IndividualActive
John Enbom, M.D.
NPI 1912271735 · Critical Care Medicine (Obstetrics & Gynecology) Physician · Corvallis, OR
Provider details
- NPI number
- 1912271735
- Entity type
- Individual
- Primary specialty
- Critical Care Medicine (Obstetrics & Gynecology) PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- MD07110 (OR)
Practice location
2625 Sw Brooklane Dr
Corvallis, OR 97333-1513
Phone: (541) 757-9614
Fax: (541) 752-7030
Mailing address
2625 Sw Brooklane Dr
Corvallis, OR 97333-1513
Registry dates
- Enumerated
- 2012-02-24
- Last updated
- 2012-02-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.