Shamel Altoumeh

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

License

PI-0014255 Issued in OR

Practice address

203 Pharmacy BLDG
Corvallis, OR 97331-3507

Phone

(541) 737-3423

NPI assigned

May 28, 2024

Sex

Male

Sole proprietor

No

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 28, 2024.

{
    "created_epoch": "1716854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716854400000",
    "number": "1063252013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 PHARMACY BLDG",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973318537",
            "telephone_number": "541-737-3423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 PHARMACY BLDG",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973313507",
            "telephone_number": "541-737-3423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALTOUMEH",
        "first_name": "SHAMEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-05-28",
        "last_updated": "2024-05-28",
        "certification_date": "2024-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "OR",
            "license": "PI-0014255",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alpine Animal Hospital PC
• Tiffany Alsip, RN
• Jackson Altig
• Hannah Altimus, QMHA
• Ili Altland
• Magnus Alvarado
• Melissa Alvarado
• Lynn Alvarez, DO
• Andre Alyeska
• Nichole Amana, QMHA -I

• All providers in Corvallis, OR
• Student in an Organized Health Care Education/Training Program in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.