Unknown Individual – Dermatology Physician, NPI 1174698591
Dermatology Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
444, Northwest Elks Drive, Corvallis, Benton County, Oregon, 97330, United States
CORVALLIS, OR 973303745
Phone: (541) 926-3441
Type: Mailing
601, Northwest Hickory Street, North Albany, Albany, Benton County, Oregon, 97321, United States
ALBANY, OR 973211752
Phone: (541) 926-3441
Fax: (541) 926-1010
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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Educational use only—not medical, billing, or legal advice.
No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 97330)
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