CORVALLIS PEDIATRICS, LLC
NPI 1720979651
Clinic/Center - Primary Care in Corvallis, OR
- Organization
- Clinic/Center
- Primary Care
- CLIA Number: 38D2331389
- CLIA Cert. Type: Practitioner Other
- CLIA Exp. Date: 09-29-2027
About CORVALLIS PEDIATRICS, LLC
This page provides the complete NPI Profile along with additional information for Corvallis Pediatrics, Llc, a primary care provider established in Corvallis, Oregon operating as a Clinic/center, focusing in primary care . The healthcare provider is registered in the NPI registry with number 1720979651 assigned on July 2025. The practitioner's primary taxonomy code is 261QP2300X. The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Kourtney Hanks Fnp-c, Cnm (Nurse Practitioner)
- NPI
- 1720979651 Verify this NPI
- Provider Name
- CORVALLIS PEDIATRICS, LLC
- Entity Type
- Organization
- Location Address
- 1873 NW KINGS BLVD CORVALLIS, OR 97330
- Location Phone
- (541) 745-8715
- Mailing Address
- 1873 NW KINGS BLVD CORVALLIS, OR 97330
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 07-10-2025
- Last Update Date
- 07-10-2025
- Code Navigator
A primary care provider (PCP) like Corvallis Pediatrics, Llc sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Primary Care
- Taxonomy Code
- 261QP2300X
- Type
- Ambulatory Health Care Facilities
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1013371707 | MEDICAID (05) | OR |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 38D2331389
- Facility Type
- Practitioner Other
- Certificate Effective Date
- September 30, 2025
- Certificate Expiration Date
- September 29, 2027
- Laboratory Director
- KOURTNEY HANKS
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Corvallis Pediatrics, Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
Reviews for CORVALLIS PEDIATRICS, LLC
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Other Providers at the Same Location
The following 2 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1720979651, enumerated as an "organization" on July 10, 2025.
The provider is located at 1873 NW KINGS BLVD CORVALLIS, OR 97330 and the phone number is (541) 745-8715.
Clinic/Center with taxonomy code 261QP2300X and a focus in Primary Care.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
