Fulcrum Osteopathic, Llc

LBN: Fulcrum Osteopathic, Llc
Fulcrum Osteopathic, Llc is an health care organization with primary practice located at 525 Nw 2Nd St , Corvallis OR 97330-6487. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine & OMM, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine & OMM is the primary health care specialty. Fulcrum Osteopathic, Llc can be contacted via phone (541) 250-5994, or through Evitts, Matthew Patrick via phone (541) 250-5994.

Contact Information

Primary practice address
525 Nw 2Nd St Corvallis OR 97330-6487
Phone: (541) 250-5994
Fax: (541) 638-4002
Website:
Map and Directions
Authorized official contact:
Name: Evitts, Matthew Patrick Doctor of Osteopathy (DO)
Phone: (541) 250-5994

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine & OMM 204D00000X
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X

Profile Details

NPI number 1033857842
LBN Legal business name Fulcrum Osteopathic, Llc
DBA Doing business as
Authorized official Evitts, Matthew Patrick Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date May 23rd, 2022
Last updated Dec 29th, 2023 - about 3 years ago

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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Identifiers

StateTypeNumberIssuer
All States NPI 1033857842 NPPES
Oregon MEDICAID 287713

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