NPI 1295183291 · live from the CMS NPI Registry
Tyler Marcus Andrea, DO
Internal Medicine, Nephrology in Corvallis, OR. National Provider Identifier 1295183291, active.
NPI record
| NPI | 1295183291 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Internal Medicine, Nephrology 207RN0300X |
| Practice location | 3615 Nw Samaritan Dr Ste 203, Corvallis, OR 97330 |
| Practice phone | 541-768-6930 |
| Mailing address | Po Box 1189, Corvallis, OR 97339 |
| Enumerated | May 31, 2016 |
| Last updated | August 29, 2023 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Internal Medicine | 207R00000X | DO212958 (OR) |
| Internal Medicine, Nephrology | 207RN0300X | OS021030 (PA) |
| Internal Medicine, Nephrology primary | 207RN0300X | DO212958 (OR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.