CORVALLIS FAMILY MEDICINE PC
NPI 1841228327
Family Medicine in Corvallis, OR

Active since June 30, 2006CLIA 38D0626037 · Microscopy
2400 NW KINGS BLVD, CORVALLIS, OR 97330(541) 757-2400(541) 757-4719 Get Directions Write a Review

NPPES record last updated: June 11, 2009. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Corvallis Family Medicine Pc NPPES

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

CORVALLIS FAMILY MEDICINE PC (NPI 1841228327) is a healthcare organization registered as a family medicine in Corvallis, Oregon and active in the NPI registry since June 2006. The organization holds a CLIA Microscopy certificate valid through December 31, 2027 and lists Aaron Lee David, President, as its authorized official.

NPPES Registry Identity

NPI1841228327
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameCORVALLIS FAMILY MEDICINE PC
Location Address2400 NW KINGS BLVDCorvallis, OR 97330
Mailing Address2400 Nw Kings BlvdCorvallis, OR 97330 · (541) 757-2400 · Fax (541) 757-4719
Fax(541) 757-4719
Organization SubpartNo
Authorized OfficialAaron Lee DavidPresident · (541) 757-2400
Enumeration DateJune 30, 2006
Last NPPES UpdateJune 11, 2009
✔ NPI 1841228327 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
2400 NW KINGS BLVD, Corvallis, OR 97330

Other Identifiers 2

Medicaid287656OR
Medicare ID-Type Unspecified102296

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Corvallis Family Medicine Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

14

Medicare enrollment records show 14 clinicians reassign Medicare billing to Corvallis Family Medicine PC, which bills Medicare for the services they deliver. Of these, 6 practice at this address and 8 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 5

Family Practice7
Nurse Practitioner3
Clinical Social Worker2
Mental Health Counselor1
Psychiatry1

Clinicians, nearest first (14)

Family Practice
NPI 1912989575
2400 NW KINGS BLVD
Corvallis, OR 97330
(541) 757-2400
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1992771356
2400 NW KINGS BLVD
Corvallis, OR 97330
(541) 757-2400
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1548236904
2400 NW KINGS BLVD CORVALLIS FAMILY MEDICINE
Corvallis, OR 97330
(541) 757-2400
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1144390592
2400 NW KINGS BLVD
Corvallis, OR 97330
(541) 757-2400
✔ PECOS✔ Accepts MedicareSame address
Psychiatry
NPI 1184157810
2400 NW KINGS BLVD
Corvallis, OR 97330
(541) 757-2400
✔ PECOS✔ Accepts MedicareSame address
Mental Health Counselor
NPI 1801079165
2400 NW KINGS BLVD
Corvallis, OR 97330
(541) 757-2400
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1235666538
3600 NW SAMARITAN DR
Corvallis, OR 97330
(541) 768-4906
✔ PECOS✔ Accepts Medicare1.5 mi
Family Practice
NPI 1912352402
400 HICKORY ST NW STE 300
Albany, OR 97321
(541) 812-5700
✔ PECOS✔ Accepts Medicare9.0 mi
Clinical Social Worker
NPI 1376734426
2730 PACIFIC BLVD SE
Albany, OR 97321
(541) 967-3866
✔ PECOS✔ Accepts Medicare11 mi
Clinical Social Worker
NPI 1265947105
2730 PACIFIC BLVD SE
Albany, OR 97321
(541) 967-3866
✔ PECOS11 mi
Nurse Practitioner
NPI 1942965140
1255 WALLACE RD NW
Salem, OR 97304
(503) 395-4101
✔ PECOS27 mi
Family Practice
NPI 1972867091
200 S HAZEL DELL WAY
Canby, OR 97013
(503) 263-9500
✔ PECOS✔ Accepts Medicare55 mi
Nurse Practitioner
NPI 1396744769
446 OAK ST
Brookings, OR 97415
(541) 469-7401
✔ PECOS✔ Accepts Medicare182 mi
Nurse Practitioner
NPI 1417214834
12 S 8TH ST
Yakima, WA 98901
(509) 454-4143
✔ PECOS194 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 38D0626037

Corvallis Family Medicine, PC · Corvallis, OR
Active · expires Dec 31, 2027
CLIA Number38D0626037
Laboratory TypePhysician Office
Certificate Effective DateJanuary 1, 2026
Certificate Expiration DateDecember 31, 2027
Laboratory DirectorBrianne E. Smith
Laboratory Phone(541) 757-2400
Laboratory LocationCorvallis Family Medicine, PC2400 NW Kings Blvd, Corvallis, OR 97330
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

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 Family Medicine PC's NPI number?

The NPI number for Corvallis Family Medicine PC is 1841228327. It was assigned to this organization in the NPPES registry on June 30, 2006.

Where is Corvallis Family Medicine PC located?

Corvallis Family Medicine PC is located at 2400 NW Kings Blvd, Corvallis, OR 97330. The listed phone number is (541) 757-2400.

What is Corvallis Family Medicine PC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Corvallis Family Medicine PC enrolled in Medicare?

Yes. Corvallis Family Medicine PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Corvallis Family Medicine PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 14 clinicians in 5 Medicare specialties reassign their Medicare billing to Corvallis Family Medicine PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Family Practice (7), Nurse Practitioner (3) and Clinical Social Worker (2). Of these, 6 practice at this address and 8 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Corvallis Family Medicine PC hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 38D0626037) is associated with this NPI, valid through December 31, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Corvallis Family Medicine PC accept?

Health plans from Moda Health Plan, Inc. and Providence Health Plan list Corvallis Family Medicine PC 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 Family Medicine PC was last updated on June 11, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.