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CORVALLIS PSYCHIATRY LLC
NPI 1023995768
Psychiatry & Neurology - Psychiatry in Portland, OR

Active since August 15, 2025
5441 S MACADAM AVE STE N, PORTLAND, OR 97239(541) 351-7116 Get Directions Write a Review

NPPES record last updated: August 15, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Corvallis Psychiatry Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CORVALLIS PSYCHIATRY LLC (NPI 1023995768) is a healthcare organization registered as a psychiatry in Portland, Oregon and active in the NPI registry since August 2025. The organization lists Tyler Fanning, Physician, as its authorized official.

NPPES Registry Identity

NPI1023995768
Entity TypeOrganization
Primary Taxonomy2084P0800X
Legal Business NameCORVALLIS PSYCHIATRY LLC
Location Address5441 S MACADAM AVE STE NPortland, OR 97239
Mailing Address5441 S Macadam Ave Ste NPortland, OR 97239
Phone(541) 351-7116
Organization SubpartNo
Authorized OfficialTyler FanningPhysician · (541) 351-7116
Enumeration DateAugust 15, 2025
NPPES CertifiedAugust 15, 2025
✔ NPI 1023995768 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
Also ListedPsychiatry & Neurology · Child & Adolescent PsychiatryTaxonomy 2084P0804X
5441 S MACADAM AVE STE N, Portland, OR 97239
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Other Names 1

Other NameCorvallis Psychiatry

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RACHEL ELIZABETH SELTZER SONNE MD MPH
Preventive Medicine (Public Health & General Preventive Medicine)
5441 S MACADAM AVE STE N
PORTLAND, OR 97239
Multnomah County (503) 810-0416
JEREMY RUSSELL JOHNSON LPCA
Counselor (Mental Health)
5441 S MACADAM AVE STE N
PORTLAND, OR 97239
Multnomah County (909) 360-9341
BLACK SWAN HEALING LLC
Counselor (Mental Health)
5441 S MACADAM AVE STE N
PORTLAND, OR 97239
Multnomah County (971) 268-7462
FREEDOM RISING COUNSELING LLC
Counselor
5441 S MACADAM AVE STE N, SUITE N
PORTLAND, OR 97239
Multnomah County (541) 714-3282
REBECCA DANILENKO CRC NCC
Counselor (Mental Health)
5441 S MACADAM AVE STE N
PORTLAND, OR 97239
Multnomah County (503) 208-4252
ANDREA LYNN LARSEN MA, LPC
Counselor (Professional)
5441 S MACADAM AVE STE N
PORTLAND, OR 97239
Multnomah County (503) 583-4048
MOVE TO RECOVER PHYSICAL THERAPY LLC
Clinic/Center (Physical Therapy)
5441 S MACADAM AVE STE N
PORTLAND, OR 97239
Multnomah County (971) 367-3983
THE POINT PSYCHIATRY
Clinic/Center (Adult Mental Health)
5441 S MACADAM AVE STE N
PORTLAND, OR 97239
Multnomah County (503) 941-0166

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Corvallis Psychiatry LLC's NPI number?

The NPI number for Corvallis Psychiatry LLC is 1023995768. It was assigned to this organization in the NPPES registry on August 15, 2025. The provider is also known as Corvallis Psychiatry.

Where is Corvallis Psychiatry LLC located?

Corvallis Psychiatry LLC is located at 5441 S Macadam Ave Ste N, Portland, OR 97239. The listed phone number is (541) 351-7116.

What is Corvallis Psychiatry LLC's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

When was this NPI record last updated?

The NPPES record for Corvallis Psychiatry LLC was last updated on August 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.