Active NPIIndividual providerSole proprietor

Mary Abraham, MD

Internal Medicine, Rheumatology in Corvallis, Oregon

NPI Number1073876199
Practice location
3620 NW Samaritan Dr Ste 202, Corvallis, OR 97330-3785
Fax
—
Last updated
September 16, 2022

Mary Abraham is an Internal Medicine, Rheumatology based in Corvallis, OR. Mary Abraham practices in Corvallis, OR and has the professional credentials of MD. The NPI Number for Mary Abraham is 1073876199 and holds a License No. MT202013 (PA). The current practice location address for Mary Abraham is 3620 NW Samaritan Dr Ste 202, Corvallis, OR 97330-3785 and can be reached out via phone at 541-768-5800.

Provider Profile Details

NPI Number
1073876199
Provider Name
Mary Abraham
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
3620 NW Samaritan Dr Ste 202, Corvallis, OR 97330-3785
Phone Number
541-768-5800
Primary Taxonomy
Internal Medicine, Rheumatology · 207RR0500X
Sole Proprietor
Yes
Provider Enumeration Date
June 22, 2012
Last Update Date
September 16, 2022
Certification Date
September 16, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
3620 NW Samaritan Dr Ste 202
Corvallis, OR 97330-3785
State
Oregon
Zip
97330-3785
Phone Number
541-768-5800
Corvallis, OR 97330Get directions →

Provider Business Mailing Address Details

Address
Po Box 1189
Corvallis, OR 97339-1189
City
Corvallis
State
OR
Zip
97339-1189

License Information

License Number (1)
MT202013
License State (1)
PA
Taxonomy (1)
Internal Medicine · 207R00000X
License Number (2)
290534
License State (2)
NY
Taxonomy (2)
Internal Medicine, Rheumatology · 207RR0500X
License Number (3)
MD211734
License State (3)
OR
Taxonomy (3)
Internal Medicine, Rheumatology · 207RR0500X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mary Abraham, MD?

The NPI number of Mary Abraham, MD is 1073876199. It was assigned on June 22, 2012 and is currently active in the NPPES registry.

What is the specialty of Mary Abraham, MD?

Mary Abraham, MD is registered under the primary taxonomy Internal Medicine, Rheumatology (code 207RR0500X), licensed in PA under license number MT202013.

Where does Mary Abraham, MD practice?

The practice location is 3620 NW Samaritan Dr Ste 202, Corvallis, OR 97330-3785. The office can be reached at 541-768-5800 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1073876199 directly on the NPPES registry website.

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