| NPI | 1316711021 |
|---|---|
| Doing Business As | CORVALLIS CLINIC WAVERLY DRIVE |
| Entity Type | Organization |
| Authorized Contact | THOMAS GRAGNOLA President 541-754-1374 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2023-11-13 |
| Last Update Date | 2025-01-24 |