TANNER WILLIFORD DO
NPI 1972399004
Student in an Organized Health Care Education/Training Program in Corvallis, OR
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 student in an organized health care education/training program in Corvallis, Oregon 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
Specialties & Licenses
Secondary Practice Location 1
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).
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.
CORVALLIS, OR 97330
CORVALLIS, OR 97330
CORVALLIS, OR 97330
CORVALLIS, OR 97330
CORVALLIS, OR 97330
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 Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
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 August 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Tanner Williford, DO · NPI 1972399004
Student in an Organized Health Care Education/Training Program provider in Corvallis, Oregon. Individual provider, active in the CMS NPPES registry since April 16, 2025.
## Identity
- **NPI:** 1972399004 (Entity type: Individual)
- **Enumerated:** April 16, 2025
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** Yes
## Practice location
- **Address:** 3600 NW SAMARITAN DR, Corvallis, OR 97330-5472
- **Phone:** (661) 578-7111
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** August 18, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1972399004) · Data from the CMS NPPES public registry.