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Michael J Mccusker, PA-C
Family Medicine Physician in Corvallis, Oregon
NPI 1013096684

Michael J Mccusker is a Family Medicine Physician based in Corvallis, OR. Michael J Mccusker practices in Corvallis, OR and has the professional credentials of PA-C. The NPI Number for Michael J Mccusker is 1013096684 and holds a License No. PA01335 (Oregon).

The current practice location address for Michael J Mccusker is 530 Nw 27Th St, Corvallis, OR and can be reached out via phone at 541-766-6611 and via fax at 541-766-6186.

Location: 530 Nw 27Th St, Corvallis, OR, 97330-2111
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1013096684
Provider Name
Michael J Mccusker
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
530 Nw 27Th St, Corvallis, OR, 97330-2111
Phone Number
541-766-6611
Fax Number
541-766-6186
Provider Enumeration Date
11/03/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
500634427 05 OR
PA01335 01 OR OREGON MEDICAL BOARD
institution
Provider Business Practice Location Address Details
Address
530 Nw 27Th St
City
Corvallis
State
Oregon
Zip
97330-5223
Phone Number
541-766-6611
Fax Number
541-766-6186
person
Provider Business Mailing Address Details
Address
530 Nw 27Th St
City
Corvallis
State
Oregon
Zip
97330-5223
Phone Number
541-766-6611
Fax Number
541-766-6186
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
MA052623 (Pennsylvania)
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 is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
PA01335 (Oregon)
Definition
Definition to come...
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