DR. TIMOTHY ELDON BLUMER (NPI# 1851497085) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851497085 |
| Entity Type | Individual |
| Full Name | DR. TIMOTHY ELDON BLUMER |
| Credential | D.O. |
| Practice Address |
3517 Nw Samaritan Dr Ste 101 Corvallis OR 97330-3768 |
| Mailing Address |
Po Box 1189 Corvallis OR 97339-1189 |
| Practice Telephone | 5417684620 |
| Enumeration Date | 2006-09-15 |
| Last Update Date | 2020-11-04 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
19212 | OR | Allopathic & Osteopathic Physicians |
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
19212 | OR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 076054 | 05 |
| Street Address |
3517 NW SAMARITAN DR STE 101 |
| City | CORVALLIS |
| State | OR |
| Zip Code | 97330-3768 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093123051 | Thien Chuong Richard Ly | Psychiatry & Neurology | 3517 Nw Samaritan Dr Ste 101, Corvallis, OR 97330-3768 | 2014-07-22 |
| 1205957230 | Derek J Gale | Counselor | 3517 Nw Samaritan Dr Ste 101, Corvallis, OR 97330-3768 | 2007-04-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235754912 | Miya Claborn | Counselor | 4495 Se Hwy 20, Corvallis, OR 97330 | 2020-06-09 |
| 1548889017 | Greydi Olvera | Counselor | Childrens Farm Home 4455 Ne Hwy 20, Corvallius, OR 97330 | 2020-04-14 |
| 1053953992 | Andie Marie Gaipo | Counselor | 4455 Ne Hwy 20 - Children's Farm Home, Corvallis, OR 97330 | 2019-10-11 |
| 1740847177 | Stephen Jack Eccles | Behavior Technician | Trillium Children's Farm Home, 4455 Ne Hwy 20, Corvallis, OR 97330 | 2019-05-21 |
| 1750944815 | Tiffany Rene Flinchpaugh | Counselor | Children's Farm Home 4455 Hwy 20, Corvallis, OR 97330 | 2019-04-15 |
| 1679035455 | Isaiah Mile Cassidy | Counselor | Children's Farm Home-4455 Ne Hwy 20, Corvallis, OR 97330 | 2019-04-02 |
| 1982168399 | Haylee Cramblit | Counselor | Children's Farm Home 4455 Ne Hwy 20, Corvallis, OR 97330 | 2019-01-30 |
| 1457835365 | Ashley Alyn Couch | Counselor | 4455 Hwy 20 Corvallis 97330, Corvallis, OR 97330 | 2018-09-18 |
| 1104318898 | Megan Gerding | Technician, Other | 996 Nw Circle Blvd Suite 103, Corvallis, OR 97330 | 2018-05-30 |
| 1700377108 | Pacific Hearing Services | Audiologist | 975 Nw Spruce Ave, Suite #101, Corvallis, OR 97330 | 2018-05-22 |
| Find all providers in zip 97330 | ||||
| Taxonomy Code | 2084P0804X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Child & Adolescent Psychiatry |
| Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023167061 | Daryl Bryce Downey | Psychiatry & Neurology | 2075 Nw Grant Ave, Corvallis, OR 97330-4366 | 2007-01-09 |
| 1720214422 | Benjamin Andrew Adler | Psychiatry & Neurology | 4455 Ne Highway 20, Corvallis, OR 97330 | 2009-06-09 |
| 1013172832 | Stephanie Anne Axman | Psychiatry & Neurology | 3509 Nw Samaritan Dr Ste 215, Corvallis, OR 97330-3893 | 2008-07-21 |
| 1801095773 | Benjamin R Lafferty | Psychiatry & Neurology | 3517 Nw Samaritan Dr, Suite 101, Corvallis, OR 97330-3767 | 2007-07-12 |
| 1336280106 | Cindy Jean Smith | Psychiatry & Neurology | 4455 Ne Highway 20, Corvallis, OR 97330-9695 | 2007-02-12 |
| 1851475099 | Eric Nathaniel Leong | Psychiatry & Neurology | 3509 Nw Samaritan Dr, Corvallis, OR 97330-3893 | 2006-10-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922481456 | Providence Health & Services - Oregon | Psychiatry & Neurology | 10830 Highway 62, Eagle Point, OR 97524-9516 | 2015-07-01 |
| 1295113876 | Cortney Aleese Taylor | Psychiatry & Neurology | 10700 Sw Beaverton Hillsdale Hwy Ste 11, Beaverton, OR 97005-3035 | 2015-05-14 |
| 1831455211 | Nicholas Austin | Psychiatry & Neurology | 3181 Sw Sam Jackson Park Rd Dept Of, Portland, OR 97239-3011 | 2012-04-10 |
| 1760773006 | Michelle Elizabeth Feldman | Psychiatry & Neurology | 3876 Beverly Ave Ne Bldg F, Salem, OR 97305-1319 | 2011-04-20 |
| 1235446303 | Ervin Gene Stubbs | Psychiatry & Neurology | 7032 Sw 3rd Ave, Portland, OR 97219-2214 | 2010-09-09 |
| 1851525620 | Sarah Morgan Schrauben | Psychiatry & Neurology | 870 Se 82nd Ave., Portland, OR 97027 | 2009-05-08 |
| 1528249620 | Thomas E Deblois | Psychiatry & Neurology | 133 Ne 8th St, Newport, OR 97365-3130 | 2007-11-16 |
| 1700077328 | Hanh Ngoc Nguyen | Psychiatry & Neurology | 5410 Sw Macadam Ave Ste 200, Portland, OR 97239 | 2007-08-08 |
| 1912116013 | John Barrows Chenoweth | Psychiatry & Neurology | 5410 S.w. Macadam Ave, Ste 200, Portland, OR 97239-3825 | 2007-05-22 |
| 1023238698 | Elliot Morrison | Psychiatry & Neurology | 22025 Ne Butler Market Rd, Bend, OR 97701-9734 | 2007-04-26 |
| 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.