Tiara F Packer is a Surgical in Corvallis, Oregon. Tiara F Packer practices all healthcare services and medical treatments related to Surgical. The NPI Number for Tiara F Packer is 1447313010. The last update date is 2010-09-24.
Tiara F Packer's current location address is 3620 Nw Samaritan Drive, Corvallis, Oregon. You can contact this provider via phone number 5417684810. The mailing address for Tiara F Packer is 3620 Nw Samaritan Drive, Corvallis, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tiara F Packer |
|---|---|
| Address | 3620 Nw Samaritan Drive, Corvallis, Oregon |
| Phone Number | 5417684810 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1447313010 |
|---|---|
| Provider Enumeration Date | 2006-12-18 |
| Last Updated Date | 2010-09-24 |
Provider Mailing Address Detail
| Address | 3620 Nw Samaritan Drive |
|---|---|
| City | Corvallis |
| State | Oregon (OR) |
| Post Code | 97330 |
| Phone Number | 5417684810 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Surgical |
|---|---|
| Taxonomy | 363As0400X |
| Licence No | 614 |
|
Definition: A licensed healthcare professional who assists in providing surgical care under physician supervision. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 01Y005045NH03 | NH | ANTHEM BCBS MOA | |
| 30334821 | NH | -- | |
| 01Y005045NH02 | NH | ANTHEM BCBS MCH |
Post Comment/ Review Below
What is the Tiara F Packer's unique identification number?
The Tiara F Packer has been assigned the NPI (National Provider Identifier) Number 1447313010 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Can you provide the Tiara F Packer's physical address?
The Tiara F Packer is physically located at 3620 Nw Samaritan Drive, in the city of Corvallis, OR, with the postal code 97330.
What is Tiara F Packer's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Tiara F Packer is Surgical, and the corresponding taxonomy classification code for this specialized field is 363As0400X.
On what date did the Centers for Medicare & Medicaid Services assign the 1447313010 to Tiara F Packer?
The Centers for Medicare & Medicaid Services assigned the 1447313010 to Tiara F Packer on 2006-12-18.
As of what date was the information regarding Tiara F Packer, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Tiara F Packer, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2010-09-24.
NPI Number: 1902809924
Address: 2400 W Main St, Rock Hill, SC
NPI Number: 1063415297
Address: 510 Spring St, Jeffersonville, IN