| NPI | 1023995768 |
|---|---|
| Other Name | CORVALLIS PSYCHIATRY |
| Entity Type | Organization |
| Authorized Contact | TYLER FANNING Physician 541-351-7116 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry |
| Enumeration Date | 2025-08-15 |
| Last Update Date | 2025-08-15 |