NPI 1073876199 · live from the CMS NPI Registry
Mary Abraham, MD
Internal Medicine, Rheumatology in Corvallis, OR. National Provider Identifier 1073876199, active.
NPI record
| NPI | 1073876199 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Internal Medicine, Rheumatology 207RR0500X |
| Practice location | 3620 Nw Samaritan Dr Ste 202, Corvallis, OR 97330 |
| Practice phone | 541-768-5800 |
| Mailing address | Po Box 1189, Corvallis, OR 97339 |
| Enumerated | June 22, 2012 |
| Last updated | September 16, 2022 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Internal Medicine | 207R00000X | MT202013 (PA) |
| Internal Medicine, Rheumatology | 207RR0500X | 290534 (NY) |
| Internal Medicine, Rheumatology primary | 207RR0500X | MD211734 (OR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.