1. Home
  2. Directory
  3. Oregon
  4. Corvallis
  5. Student In An Organized Health Care Education Training Program
  6. NPI Profile

TRISTAN MCKIBBEN
NPI 1083404420
Student in an Organized Health Care Education/Training Program in Corvallis, OR

Active since May 08, 2025
1601 SW JEFFERSON AVE, CORVALLIS, OR 97331(541) 737-3424 Get Directions Write a Review

NPPES record last updated: May 8, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Tristan Mckibben NPPES

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

TRISTAN MCKIBBEN (NPI 1083404420) is an individual student in an organized health care education/training program in Corvallis, Oregon, licensed in Oregon (PI-0014268) and active in the NPI registry since May 2025.

NPPES Registry Identity

NPI1083404420
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameTRISTAN MCKIBBEN
Location Address1601 SW JEFFERSON AVECorvallis, OR 97331-8656
Mailing AddressPo Box 70723Springfield, OR 97475-0135
Phone(541) 737-3424
Sole ProprietorYes
Enumeration DateMay 8, 2025
NPPES CertifiedMay 8, 2025
✔ NPI 1083404420 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
License✔ Licensed in OR · PI-0014268
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

1601 SW JEFFERSON AVE, Corvallis, OR 97331
Open in Google Maps ↗

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.

AMIE CHEW
Student in an Organized Health Care Education/Training Program
1601 SW JEFFERSON AVE
CORVALLIS, OR 97331
Benton County (541) 737-3424
ANNA THANH LE
Student in an Organized Health Care Education/Training Program
1601 SW JEFFERSON AVE
CORVALLIS, OR 97331
Benton County (541) 737-3424
NADIA ZAMANIAN
Student in an Organized Health Care Education/Training Program
1601 SW JEFFERSON AVE
CORVALLIS, OR 97331
Benton County (541) 737-3424
JESSE XUAN LIECHTY
Student in an Organized Health Care Education/Training Program
1601 SW JEFFERSON AVE
CORVALLIS, OR 97331
Benton County (541) 737-3424
NIKKI BANGGO CHAN
Student in an Organized Health Care Education/Training Program
1601 SW JEFFERSON AVE
CORVALLIS, OR 97331
Benton County (541) 737-3424
CINDY TRAN
Student in an Organized Health Care Education/Training Program
1601 SW JEFFERSON AVE, 203 PHARMACY BUILDING
CORVALLIS, OR 97331
Benton County (541) 737-3424
ALLISON ELAINE SZEKULA
Student in an Organized Health Care Education/Training Program
1601 SW JEFFERSON AVE
CORVALLIS, OR 97331
Benton County (541) 737-3424
VALERIA RAMIREZ GARIBAY
Student in an Organized Health Care Education/Training Program
1601 SW JEFFERSON AVE
CORVALLIS, OR 97331
Benton County (541) 737-3424

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 Tristan Mckibben's NPI number?

The NPI number for Tristan Mckibben is 1083404420. It was assigned to this individual provider in the NPPES registry on May 8, 2025.

Where is Tristan Mckibben located?

Tristan Mckibben practices at 1601 SW Jefferson Ave, Corvallis, OR 97331. The listed phone number is (541) 737-3424.

What is Tristan Mckibben's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Tristan Mckibben was last updated on May 8, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.