PRISCILLA W LATTA


Address: 400 Hickory St Nw Ste 101, Albany, OR 97321-1700
Phone: 5418123360

PRISCILLA W LATTA (NPI# 1639154974) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1639154974
Entity Type Individual
Full Name PRISCILLA W LATTA
Credential M.D.
Practice Address 400 Hickory St Nw Ste 101
Albany
OR 97321-1700
Mailing Address Po Box 1188
Corvallis
OR 97339-1188
Practice Telephone 5418123360
Practice Fax Number 5418124499
Enumeration Date 2005-12-09
Last Update Date 2020-10-29
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207Q00000X Family Medicine MD151051 OR Allopathic & Osteopathic Physicians
Y 2083P0011X Preventive Medicine
Specialization: Undersea and Hyperbaric Medicine
MD151051 OR Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
OR 500623286 05

Office Location

Street Address 400 HICKORY ST NW STE 101
City ALBANY
State OR
Zip Code 97321-1700

Providers in the same location

NPI Name Taxonomy Address Enumeration
1306257183 Albany General Hospital Preventive Medicine 400 Hickory St Nw Ste 101, Albany, OR 97321-1700 2014-05-14
1548571136 Scott Kenneth Rasmussen Podiatrist 400 Hickory St Nw Ste 101, Albany, OR 97321-1700 2010-06-29

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 2083P0011X
Grouping Allopathic & Osteopathic Physicians
Classification Preventive Medicine
Specialization Undersea and Hyperbaric Medicine

Taxonomy Definition

A specialist who treats decompression illness and diving accident cases and uses hyperbaric oxygen therapy to treat such conditions as carbon monoxide poisoning, gas gangrene, non-healing wounds, tissue damage from radiation and burns and bone infections. This specialist also serves as consultant to other physicians in all aspects of hyperbaric chamber operations and assesses risks and applies appropriate standards to prevent disease and disability in divers and other persons working in altered atmospheric conditions.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Preventive Medicine, 2007. http://www.abprevmed.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Preventive Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1053477828 James M Freeman Md Preventive Medicine 803 N Jefferson St Ste A, Albany, GA 31701-5117 2006-12-28
1306257183 Albany General Hospital Preventive Medicine 400 Hickory St Nw Ste 101, Albany, OR 97321-1700 2014-05-14
1801952486 James M Freeman Preventive Medicine 803 N Jefferson St, Suite 5, Albany, GA 31701-2373 2006-12-28

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1659609899 Cameron Scott, Md PC Preventive Medicine 1460 G St, Springfield, OR 97477-4112 2009-11-30
1508015546 Harry E. Kleiner Do PC Preventive Medicine 1460 G St, Springfield, OR 97477-4112 2008-09-15
1235276700 Kevin Craig Walters Preventive Medicine 2400 Lancaster Dr Ne, Salem, OR 97305-1221 2007-01-31
1558426494 Robert J Charles Md PC Preventive Medicine 1460 G Street, Springfield, OR 97477-4197 2006-12-22
1811055437 Doctors Emergency Room Corp PC Preventive Medicine 1460 G St, Springfield, OR 97477-4112 2006-12-05
1356446389 Lee W. Davidson, Md. P.C. Preventive Medicine 1460 G St, Springfield, OR 97477-4112 2006-09-14
1689682577 Desmond A Crooks, Md P.C. Preventive Medicine 1460 G St, Springfield, OR 97477-4112 2006-08-04
1659389534 Eric A Spencer Md PC Preventive Medicine 1460 G St, Springfield, OR 97477-4112 2006-08-04
1992713879 John A Mackey Md PC Preventive Medicine 1460 G St, Springfield, OR 97477-4112 2006-08-04
1710995691 Marc B Schnapper Md PC Preventive Medicine 1460 G St, Springfield, OR 97477-4112 2006-08-04
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Competitor

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City ALBANY
Zip Code 97321

Improve Information

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Dataset Information

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.

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