Corvallis Psychiatry Llc

LBN: Corvallis Psychiatry Llc
Corvallis Psychiatry Llc is an health care organization with primary practice located at 5441 S Macadam Ave Ste N , Portland OR 97239. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is the primary health care specialty. Corvallis Psychiatry Llc can be contacted via phone (541) 351-7116, or through Fanning, Tyler via phone (541) 351-7116.

Contact Information

Primary practice address
5441 S Macadam Ave Ste N Portland OR 97239
Phone: (541) 351-7116
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Fanning, Tyler Doctor of Medicine (MD)
Phone: (541) 351-7116

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X

Profile Details

NPI number 1023995768
LBN Legal business name Corvallis Psychiatry Llc
DBA Doing business as
Authorized official Fanning, Tyler Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 15th, 2025
Last updated Aug 15th, 2025 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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