person
Tiara F Packer, PA-C
Surgical Physician Assistant in Corvallis, Oregon
NPI 1447313010

Tiara F Packer is a Surgical Physician Assistant based in Corvallis, OR and is specialized in Surgical. Tiara F Packer practices in Corvallis, OR and has the professional credentials of PA-C. The NPI Number for Tiara F Packer is 1447313010 and holds a License No. 0614 (Oregon).

The current practice location address for Tiara F Packer is 3620 Nw Samaritan Drive, Corvallis, OR and can be reached out via phone at 541-768-4810. You can also correspond with Tiara F Packer through the mailing address at 3620 NW SAMARITAN DRIVE, CORVALLIS, OR - 97330 (mailing address contact number: 541-768-4810).

Location: 3620 Nw Samaritan Drive, Corvallis, OR, 97330
person
Provider Profile Details
NPI Number
1447313010
Provider Name
Tiara F Packer
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
3620 Nw Samaritan Drive, Corvallis, OR, 97330
Phone Number
541-768-4810
Fax Number
Provider Enumeration Date
12/18/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
01Y005045NH03 01 NH ANTHEM BCBS MOA
30334821 05 NH
01Y005045NH02 01 NH ANTHEM BCBS MCH
institution
Provider Business Practice Location Address Details
Address
3620 Nw Samaritan Drive
City
State
Zip
97330
Phone Number
541-768-4810
Fax Number
person
Provider Business Mailing Address Details
Address
3620 Nw Samaritan Drive
City
State
Zip
97330
Phone Number
541-768-4810
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
0614 (New Hampshire)
Definition
Definition to come...
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