| NPI | 1154555076 |
|---|---|
| Doing Business As | VILLAGE HEALTHCARE OF CORVALLIS |
| Entity Type | Organization |
| Authorized Contact | RENEE EDWARDS Manager Provider President 541-552-0386 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X (Licence: OR 200450130np) |
| Additional Taxonomies | 305S00000X Point of Service |
| Enumeration Date | 2009-05-06 |
| Last Update Date | 2019-11-19 |