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Black Stone Health Pc
Medical Specialty Clinic/Center in Corvallis, Oregon
NPI 1457764961

Black Stone Health Pc is a Medical Specialty Clinic/Center based in Corvallis, OR and is specialized in Medical Specialty. Black Stone Health Pc practices in Corvallis, OR. The NPI Number for Black Stone Health Pc is 1457764961 and holds a License No. (Oregon).

The current practice location address for Black Stone Health Pc is 2358 Nw Kings Blvd, Corvallis, OR and can be reached out via phone at 541-368-5986 and via fax at 866-624-8745.

Location: 2358 Nw Kings Blvd, Corvallis, OR, 97330-3925
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1457764961
Provider Name
Black Stone Health Pc
Credential
Provider Entity Type
Organization
Address
2358 Nw Kings Blvd, Corvallis, OR, 97330-3925
Phone Number
541-368-5986
Fax Number
866-624-8745
Provider Enumeration Date
06/03/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
500683153 05 OR
institution
Provider Business Practice Location Address Details
Address
2358 Nw Kings Blvd
City
Corvallis
State
Oregon
Zip
97330
Phone Number
541-368-5986
Fax Number
866-624-8745
person
Provider Business Mailing Address Details
Address
2358 Nw Kings Blvd
City
Corvallis
State
Oregon
Zip
97330
Phone Number
541-368-5986
Fax Number
866-624-8745
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
261QM2500X
License No.
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Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
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