NPI 1851587901 · live from the CMS NPI Registry
Marisa Stoller Brandt, MD
Anesthesiology in Corvallis, OR. National Provider Identifier 1851587901, active.
NPI record
| NPI | 1851587901 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Anesthesiology 207L00000X |
| Practice location | 3600 Nw Samaritan Dr, Corvallis, OR 97330 |
| Practice phone | 541-768-5111 |
| Mailing address | Po Box 1189, Corvallis, OR 97339 |
| Enumerated | September 22, 2007 |
| Last updated | July 21, 2023 |
| Sole proprietor | No |
| Other names | Marisa Stoller |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Anesthesiology | 207L00000X | A101202 (CA) |
| Anesthesiology primary | 207L00000X | MD152658 (OR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.