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TIARA F PACKER PA-C
NPI 1447313010
Physician Assistant - Surgical in Corvallis, OR

Active since December 18, 2006
3620 NW SAMARITAN DRIVE, SUITE 202, CORVALLIS, OR 97330(541) 768-4810 Get Directions Write a Review

NPPES record last updated: September 24, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Tiara F Packer Pa-c NPPES

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

TIARA F PACKER PA-C (NPI 1447313010) is an individual surgical provider in Corvallis, Oregon, licensed in Oregon (PA130018) and active in the NPI registry since December 2006.

NPPES Registry Identity

NPI1447313010
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameTIARA F PACKERCredential: PA-C
Location Address3620 NW SAMARITAN DRIVE, SUITE 202Corvallis, OR 97330
Mailing Address3620 Nw Samaritan Drive, Suite 202Corvallis, OR 97330 · (541) 768-4810
Phone(541) 768-4810
Sole ProprietorNo
Enumeration DateDecember 18, 2006
Last NPPES UpdateSeptember 24, 2010
✔ NPI 1447313010 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
Licenses✔ Licensed in OR · PA130018✔ Licensed in NH · 0614
3620 NW SAMARITAN DRIVE, Corvallis, OR 97330
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Other Identifiers 4

Other01Y005045NH02NH · Anthem Bcbs Mch
Medicaid30334821NH
Medicare PINAP2779NH
Other01Y005045NH03NH · Anthem Bcbs Moa

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 Tiara Packer's NPI number?

The NPI number for Tiara Packer is 1447313010. It was assigned to this individual provider in the NPPES registry on December 18, 2006.

Where is Tiara Packer located?

Tiara Packer practices at 3620 NW Samaritan Drive Suite 202, Corvallis, OR 97330. The listed phone number is (541) 768-4810.

What is Tiara Packer's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

When was this NPI record last updated?

The NPPES record for Tiara Packer was last updated on September 24, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years 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.