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CORVALLIS PEDIATRICS, LLC
NPI 1720979651
Clinic/Center - Primary Care in Corvallis, OR

Active since July 10, 2025
1873 NW KINGS BLVD, CORVALLIS, OR 97330(541) 745-8715 Get Directions Write a Review

NPPES record last updated: July 10, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Corvallis Pediatrics, Llc NPPES

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

CORVALLIS PEDIATRICS, LLC (NPI 1720979651) is a healthcare organization registered as a primary care in Corvallis, Oregon and active in the NPI registry since July 2025. The organization lists Kourtney Hanks, Nurse Practitioner, as its authorized official.

NPPES Registry Identity

NPI1720979651
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameCORVALLIS PEDIATRICS, LLC
Location Address1873 NW KINGS BLVDCorvallis, OR 97330-1907
Mailing Address1873 Nw Kings BlvdCorvallis, OR 97330-1907
Phone(541) 745-8715
Organization SubpartNo
Authorized OfficialKourtney HanksNurse Practitioner · (541) 745-8715
Enumeration DateJuly 10, 2025
NPPES CertifiedJuly 10, 2025
✔ NPI 1720979651 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
1873 NW KINGS BLVD, Corvallis, OR 97330
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Other Identifiers 1

Medicaid1013371707OR

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., Providence Health Plan and more.Insurance ›

Other Providers at the Same Location NPPES 2

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

NEST & NURTURE, LLC
Clinic/Center
1873 NW KINGS BLVD
CORVALLIS, OR 97330
Benton County (541) 525-3174
EMILY WELLINGTON MAIZE IBCLC
Lactation Consultant, Non-RN
1873 NW KINGS BLVD
CORVALLIS, OR 97330
Benton County (541) 525-3174

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 Pediatrics, LLC's NPI number?

The NPI number for Corvallis Pediatrics, LLC is 1720979651. It was assigned to this organization in the NPPES registry on July 10, 2025.

Where is Corvallis Pediatrics, LLC located?

Corvallis Pediatrics, LLC is located at 1873 NW Kings Blvd, Corvallis, OR 97330. The listed phone number is (541) 745-8715.

What is Corvallis Pediatrics, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

What insurance does Corvallis Pediatrics, LLC accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., Providence Health Plan and Regence BlueCross BlueShield of Oregon list Corvallis Pediatrics, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Corvallis Pediatrics, LLC was last updated on July 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.