THE CORVALLIS CLINIC AT NORTH ALBANY VILLAGE (NPI# 1073758157) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073758157 |
| Entity Type | Organization |
| Organization Name | THE CORVALLIS CLINIC AT NORTH ALBANY VILLAGE |
| Practice Address |
633 N Albany Rd Nw Albany OR 97321-1433 |
| Mailing Address |
5810 Nancy Ridge Dr 100 San Diego CA 92121-2834 |
| Practice Telephone | 5419263441 |
| Enumeration Date | 2008-12-03 |
| Last Update Date | 2018-12-03 |
| Authorized Official Name | KENNY HEINE (DIRECTOR OF OPERATIONS) |
| Authorized Official Telephone | 8586252990 |
| Is Organization Subpart | Y |
| Parent Organization Name | MEDVANTX, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332900000X | Non-Pharmacy Dispensing Site | MD28172 | OR | Suppliers |
| Street Address |
633 N ALBANY RD NW |
| City | ALBANY |
| State | OR |
| Zip Code | 97321-1433 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093700171 | Damian E Jorgensen | Family Medicine | 633 N Albany Rd Nw, Albany, OR 97321-1433 | 2005-09-15 |
| 1598191215 | Romy Lee Hafner | Nurse Practitioner | 633 N Albany Rd Nw, Albany, OR 97321-1433 | 2013-09-26 |
| 1710115399 | Benie C Pham | Family Medicine | 633 N Albany Rd Nw, Albany, OR 97321-1433 | 2009-06-23 |
| 1932392107 | Heather Marie Mclean | Nurse Practitioner | 633 N Albany Rd Nw, Albany, OR 97321-1433 | 2007-08-21 |
| 1205866589 | Michael G. Sherman | Internal Medicine | 633 N Albany Rd Nw, Albany, OR 97321-1433 | 2006-07-03 |
| 1205887734 | Robert B Wirth | Internal Medicine | 633 N Albany Rd Nw, Albany, OR 97321-1433 | 2006-05-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730659228 | Waverly Assisted Living, LLC | In Home Supportive Care | 2853 Salem Ave Se Ste A, Albany, OR 97321 | 2018-11-28 |
| 1558838706 | Greater Albany Public Schools 8j | Local Education Agency (LEA) | 718 Seventh Ave. Sw, Albany, OR 97321 | 2018-10-25 |
| 1396232237 | Chiho Sakamoto Gunton | Social Worker | 227 Sw 3rd Avenue, Albany, OR 97321 | 2018-04-17 |
| 1700333184 | Albany General Hospital | Clinic/Center | 534 Pleasant View Way Nw, Suite 400, Albany, OR 97321 | 2016-09-02 |
| 1811373772 | Katrin M Ridge | Pharmacist | 1010 7th Ave. Sw., Albany, OR 97321 | 2015-08-03 |
| 1720485527 | Heartsong Counseling | Counselor | 425 Sw 2nd Ave. #203, Albany, OR 97321 | 2014-11-24 |
| 1619386604 | Courtney Ann Miller | Dentist | 2815 Willetta St, Suite A-1, Albany, OR 97321 | 2014-08-05 |
| 1346664810 | Jeffrey Othniel Nordtvedt | Case Manager/Care Coordinator | 2730 Sw Pacific Boulevard, Albany, OR 97321 | 2014-02-05 |
| 1174872022 | Albany General Hospital | Internal Medicine | 631 Southwest Elm Street, Suite 200, Albany, OR 97321 | 2012-09-06 |
| 1144594532 | Russell Travis | Pharmacist | 1177 Waverly Dr, Albany, OR 97321 | 2012-03-02 |
| Find all providers in zip 97321 | ||||
| Taxonomy Code | 332900000X |
| Grouping | Suppliers |
| Classification | Non-Pharmacy Dispensing Site |
| A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992942221 | Samaritan Firstcare Physicians | Non-Pharmacy Dispensing Site | 400 Nw Hickory Ave, 300, Albany, OR 97321-1700 | 2009-01-08 |
| 1326466244 | New York Oncology Hematology PC | Non-Pharmacy Dispensing Site | 400 Patroon Creek Blvd, Suite 1, Albany, NY 12206-5013 | 2014-03-29 |
| 1265574321 | Geary Street Clinic | Non-Pharmacy Dispensing Site | 1700 Geary St Se, Albany, OR 97322-6842 | 2007-02-13 |
| 1518008994 | Albany Family and Specialty Medicine | Non-Pharmacy Dispensing Site | 1705 Waverly Dr Se, Albany, OR 97322-6952 | 2007-02-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154931814 | Peacehealth Networks On Demand, LLC | Non-Pharmacy Dispensing Site | 6910 Se Milwaukie Ave, Portland, OR 97202-5717 | 2020-08-06 |
| 1962012955 | Peacehealth Networks On Demand, LLC | Non-Pharmacy Dispensing Site | 111 A Ave, Lake Oswego, OR 97034-3116 | 2020-08-04 |
| 1366052367 | Peacehealth Networks On Demand, LLC | Non-Pharmacy Dispensing Site | 25600 Sw Argyle Ave Ste B, Wilsonville, OR 97070-4701 | 2020-08-04 |
| 1659981652 | Peacehealth Networks On Demand, LLC | Non-Pharmacy Dispensing Site | 2711 Ne Town Center Dr Ste 2, Hillsboro, OR 97006-8951 | 2020-08-04 |
| 1902416175 | Peacehealth Networks On Demand, LLC | Non-Pharmacy Dispensing Site | 8179 N Lombard St, Portland, OR 97203-3130 | 2020-08-03 |
| 1144830365 | Peacehealth Networks On Demand, LLC | Non-Pharmacy Dispensing Site | 945 Nw Lovejoy St, Portland, OR 97209-3475 | 2020-08-03 |
| 1174133300 | Peacehealth Networks On Demand, LLC | Non-Pharmacy Dispensing Site | 7855 Sw Capitol Hwy, Portland, OR 97219-2465 | 2020-08-03 |
| 1386254514 | Peacehealth Networks On Demand, LLC | Non-Pharmacy Dispensing Site | 3872 N Mississippi Ave, Portland, OR 97227-1161 | 2020-08-03 |
| 1194335364 | Peacehealth Networks On Demand, LLC | Non-Pharmacy Dispensing Site | 2490 Willamette St Ste 4, Eugene, OR 97405-7211 | 2020-08-03 |
| 1265042436 | Peacehealth Networks On Demand, LLC | Non-Pharmacy Dispensing Site | 11355 Sw Scholls Ferry Rd, Beaverton, OR 97008-7167 | 2020-08-03 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.