NPI 1003855065 · live from the CMS NPI Registry
Randall V. Bream, M.D.
Internal Medicine, Cardiovascular Disease in Corvallis, OR. National Provider Identifier 1003855065, active.
NPI record
| NPI | 1003855065 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Internal Medicine, Cardiovascular Disease 207RC0000X |
| Practice location | 3600 Nw Samaritan Dr, Suite E350, Corvallis, OR 97330 |
| Practice phone | 541-768-5205 |
| Enumerated | June 5, 2006 |
| Last updated | July 2, 2008 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Internal Medicine | 207R00000X | MD22201 (OR) |
| Internal Medicine, Cardiovascular Disease primary | 207RC0000X | MD22201 (OR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.