RYAN WILLEN (NPI# 1912432063) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1912432063 |
Entity Type | Individual |
Full Name | RYAN WILLEN |
Credential | D.O. |
Practice Address |
3600 Nw Samaritan Dr Corvallis OR 97330 |
Mailing Address |
3600 Nw Samaritan Dr Corvallis OR 97330-3737 |
Practice Telephone | 5417684906 |
Mailing Telephone | 5417684906 |
Enumeration Date | 2017-04-26 |
Last Update Date | 2018-08-30 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 208600000X | Surgery | PG182851 | OR | Allopathic & Osteopathic Physicians |
Y | 208D00000X | General Practice | DO188985 | OR | Allopathic & Osteopathic Physicians |
Street Address |
3600 NW SAMARITAN DR |
City | CORVALLIS |
State | OR |
Zip Code | 97330 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912998451 | Elizabeth A. Monson | Nurse Practitioner | 3600 Nw Samaritan Dr, Suite E350, Corvallis, OR 97330-3737 | 2005-11-03 |
1114539616 | Rachel Wortman | Occupational Therapist | 3600 Nw Samaritan Dr, Corvallis, OR 97330-3737 | 2020-08-18 |
1467063198 | Karleen Hollis | Occupational Therapist | 3600 Nw Samaritan Dr, Corvallis, OR 97330-3737 | 2020-08-14 |
1265058408 | Lisa M Stein | Dietitian, Registered | 3600 Nw Samaritan Dr, Corvallis, OR 97330-3737 | 2020-06-23 |
1881219608 | Yesenia Sequera | Doula | 3600 Nw Samaritan Dr, Corvallis, OR 97330-3737 | 2020-06-09 |
1336761808 | Thomas Crum | Family Medicine | 3600 Nw Samaritan Dr, Corvallis, OR 97330-3737 | 2020-05-07 |
1447871587 | Daniel Stephen Mortens | Family Medicine | 3600 Nw Samaritan Dr, Corvallis, OR 97330-3737 | 2020-04-29 |
1275153355 | Patrik Osornio-centerwall | Family Medicine | 3600 Nw Samaritan Dr, Corvallis, OR 97330-3737 | 2020-04-20 |
1932729951 | Sunny D Patel | Surgery | 3600 Nw Samaritan Dr, Corvallis, OR 97330-3737 | 2020-04-20 |
1760002034 | James Reece Harris | Surgery | 3600 Nw Samaritan Dr, Corvallis, OR 97330-3737 | 2020-04-16 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235754912 | Miya Claborn | Counselor | 4495 Se Hwy 20, Corvallis, OR 97330 | 2020-06-09 |
1548889017 | Greydi Olvera | Counselor | Childrens Farm Home 4455 Ne Hwy 20, Corvallius, OR 97330 | 2020-04-14 |
1053953992 | Andie Marie Gaipo | Counselor | 4455 Ne Hwy 20 - Children's Farm Home, Corvallis, OR 97330 | 2019-10-11 |
1740847177 | Stephen Jack Eccles | Behavior Technician | Trillium Children's Farm Home, 4455 Ne Hwy 20, Corvallis, OR 97330 | 2019-05-21 |
1750944815 | Tiffany Rene Flinchpaugh | Counselor | Children's Farm Home 4455 Hwy 20, Corvallis, OR 97330 | 2019-04-15 |
1679035455 | Isaiah Mile Cassidy | Counselor | Children's Farm Home-4455 Ne Hwy 20, Corvallis, OR 97330 | 2019-04-02 |
1982168399 | Haylee Cramblit | Counselor | Children's Farm Home 4455 Ne Hwy 20, Corvallis, OR 97330 | 2019-01-30 |
1457835365 | Ashley Alyn Couch | Counselor | 4455 Hwy 20 Corvallis 97330, Corvallis, OR 97330 | 2018-09-18 |
1104318898 | Megan Gerding | Technician, Other | 996 Nw Circle Blvd Suite 103, Corvallis, OR 97330 | 2018-05-30 |
1700377108 | Pacific Hearing Services | Audiologist | 975 Nw Spruce Ave, Suite #101, Corvallis, OR 97330 | 2018-05-22 |
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Taxonomy Code | 208D00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | General Practice |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144309113 | Harry Steven Oxenhandler | General Practice | 2727 Nw 9th Street, Corvallis, OR 97330-3857 | 2006-11-02 |
1679960421 | Brendon Hart | General Practice | 3600 Nw Samaritan Dr, Corvallis, OR 97330-3737 | 2015-04-20 |
1841638723 | Timothy J Zielicke | General Practice | 3600 Nw Samaritan Dr, Corvallis, OR 97330-3737 | 2013-06-12 |
1306284419 | Elizabeth Figa | General Practice | 3600 Nw Samaritan Dr, Corvallis, OR 97330-3737 | 2013-06-11 |
1427312487 | Robin Patrick Spradling | General Practice | 3600 Nw Samaritan Dr, Corvallis, OR 97330-3737 | 2012-06-25 |
1003179409 | Jonathan Pasma | General Practice | 3600 Nw Samaritan Dr, Corvallis, OR 97330-3737 | 2012-06-20 |
1982981809 | Christopher William Leesman | General Practice | 3600 Nw Samaritan Dr, Graduate Medical Education, Good Samaritan Hospital, Corvallis, OR 97330-3737 | 2011-11-06 |
1508187733 | Larry Paul Buglino IIi | General Practice | 3600 Nw Samaritan Dr, Corvallis, OR 97330-3737 | 2010-06-22 |
1306167531 | Nathan A Swain | General Practice | 3600 Nw Samaritan Dr, Corvallis, OR 97330-3737 | 2010-06-22 |
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1801333901 | Kaiser Foundation Health Plan of The Northwest | General Practice | 3175 Nw Aloclek Dr, Hillsboro, OR 97124-7135 | 2017-01-26 |
1336697143 | Rita Lawler | General Practice | 8353 Se Clatsop Ct, Portland, OR 97266-6159 | 2016-09-21 |
1821541939 | Samuel R. Sabo | General Practice | 18171 Waldow Rd., Oregon City, OR 97045 | 2016-07-26 |
1659730760 | Propel Network, LLC | General Practice | 14525 Sw Millikan Way, Beaverton, OR 97005-2343 | 2016-02-17 |
1235526849 | Hollis Lule Augee | General Practice | 5151 S.w. 88th Ave., Portland, OR 97225-1717 | 2015-04-21 |
1023428034 | Victoria L. Larson | General Practice | 10,000 Se 222nd Ave., Damascus, OR 97089-6517 | 2014-04-29 |
1093134496 | Red Leaf Natural Health Clinic | General Practice | 833 Sw 11th Ave Ste 1018, Portland, OR 97205-2124 | 2014-04-14 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.