Lara Jae Gamelin in Corvallis - Family Medicine
Lara Jae Gamelin - NPI 1144390592
Lara Jae Gamelin is a Family Medicine in Corvallis, Oregon. Lara Jae Gamelin practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Lara Jae Gamelin is 1144390592. The last update date is 2011-12-08.
Lara Jae Gamelin's current location address is 2400 Nw Kings Blvd, Corvallis, Oregon. You can contact this provider via phone number 5417572400 and fax number 5417520931. The mailing address for Lara Jae Gamelin is 2400 Nw Kings Blvd, Corvallis, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lara Jae Gamelin |
|---|---|
| Address | 2400 Nw Kings Blvd, Corvallis, Oregon |
| Phone Number | 5417572400 |
| Fax Number | 5417520931 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1144390592 |
|---|---|
| Provider Enumeration Date | 2006-11-09 |
| Last Updated Date | 2011-12-08 |
Provider Mailing Address Detail
| Address | 2400 Nw Kings Blvd |
|---|---|
| City | Corvallis |
| State | Oregon (OR) |
| Post Code | 973303900 |
| Phone Number | 5417572400 |
| Fax Number | 5417520931 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | MD19740 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 931288530 | OR | TAX OR BUSINESS ID NUMBER | |
| 78225 | OR | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Lara Jae Gamelin by the Centers for Medicare & Medicaid Services?
The Lara Jae Gamelin has been assigned the NPI (National Provider Identifier) 1144390592 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete physical location address of Lara Jae Gamelin?
The Lara Jae Gamelin is physically situated at 2400 Nw Kings Blvd, in the city of Corvallis, state of OR, with the postal code 973303900.
What is the Lara Jae Gamelin's area of specialization and corresponding taxonomy classification?
The Lara Jae Gamelin's specialty field is Family Medicine, and it falls under the taxonomy code 207Q00000X, which categorizes healthcare providers based on their specialties.
When did Lara Jae Gamelin receive its 1144390592 assignment?
The Lara Jae Gamelin was assigned its 1144390592 on 2006-11-09, which is the date when this unique identifier was issued to the organization.
As of what date was the information pertaining to Lara Jae Gamelin, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Lara Jae Gamelin, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2011-12-08.