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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

TANNER WILLIFORD DO
NPI 1972399004
Psychiatry & Neurology - Psychiatry in Corvallis, OR

Active since April 16, 2025PECOS Enrolled
3600 NW SAMARITAN DR, CORVALLIS, OR 97330(661) 578-7111 Get Directions Write a Review

NPPES record last updated: October 1, 2026. Verified against the NPPES registry weekly; last sync: October 11, 2026.

Record update history: Oct 1, 2026, Aug 18, 2026 (2 updates tracked since 2026).

About Tanner Williford Do NPPES

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

TANNER WILLIFORD DO (NPI 1972399004) is an individual psychiatry provider in Corvallis, Oregon, licensed in Oregon (DO231412) and active in the NPI registry since April 2025. He is enrolled in Medicare PECOS and maintains a secondary practice location in Coburg.

NPPES Registry Identity

NPI1972399004
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameTANNER WILLIFORDCredential: DO
Location Address3600 NW SAMARITAN DRCorvallis, OR 97330-5472
Mailing Address72 S Country LnFruit Heights, UT 84037-2274 · (661) 578-7111
Phone(661) 578-7111
Sole ProprietorYes
Enumeration DateApril 16, 2025
Last NPPES UpdateOctober 1, 20262 updates tracked since enumeration
NPPES CertifiedOctober 1, 2026
✔ NPI 1972399004 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in OR · DO231412
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
3600 NW SAMARITAN DR, Corvallis, OR 97330
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Secondary Practice Location 1

Location 11 Serenity LnCoburg, OR 97408-9350 · Phone (541) 687-1110

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tanner Williford Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97330 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$166.64 typical visit price
range $54.96 – $166.64
Typical copayment $41.66 (range $13.74 – $41.66)
Most-billed visit code 99205
Established Patient
$68.64 typical visit price
range $17.68 – $136.19
Typical copayment $17.16 (range $4.42 – $34.04)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

DR. ELIZABETH BURNS MCQUITTY M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
3600 NW SAMARITAN DR, PATHOLOGY DEPT
CORVALLIS, OR 97330
Benton County (541) 768-6697
MS. KIM SCHLESSINGER ANP-BC
Nurse Practitioner (Adult Health)
3600 NW SAMARITAN DR
CORVALLIS, OR 97330
Benton County (541) 768-6687
DR. PARINAV KANWAR
Student in an Organized Health Care Education/Training Program
3600 NW SAMARITAN DR
CORVALLIS, OR 97330
Benton County (541) 768-4906
SAMUEL ARNOT DO
Internal Medicine
3600 NW SAMARITAN DR
CORVALLIS, OR 97330
Benton County (541) 768-5111
DANIELLE MICHELLE NIEMANN DO
Student in an Organized Health Care Education/Training Program
3600 NW SAMARITAN DR
CORVALLIS, OR 97330
Benton County (541) 768-4906
MOHAN AVULA DO
Internal Medicine
3600 NW SAMARITAN DR
CORVALLIS, OR 97330
Benton County (541) 768-4906
DR. RANDALL V. BREAM M.D.
Internal Medicine (Cardiovascular Disease)
3600 NW SAMARITAN DR, SUITE E350
CORVALLIS, OR 97330
Benton County (541) 768-5205
DR. DESTINY JENNIFER GMELCH M.D.
Pediatrics
3600 NW SAMARITAN DR
CORVALLIS, OR 97330
Benton County (541) 768-5111

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 Tanner Williford's NPI number?

The NPI number for Tanner Williford is 1972399004. It was assigned to this individual provider in the NPPES registry on April 16, 2025.

Where is Tanner Williford located?

Tanner Williford practices at 3600 NW Samaritan Dr, Corvallis, OR 97330. The listed phone number is (661) 578-7111.

What is Tanner Williford's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Tanner Williford enrolled in Medicare?

Yes. Tanner Williford is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Tanner Williford was last updated on October 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 days 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.