Active NPI
Alan Laird Embry, M.D.
- Family Medicine Physician
- Corvallis, OR
National Provider Identifier
1073667598
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD22548
- Practice address
- 121 SE Viewmont Ave
Corvallis, OR 97333-1968 - Phone
- (541) 766-3546
- Fax
- (541) 766-6143
- NPI assigned
- Jan 22, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD22548 | OR | Primary |
Addresses
Primary practice location
121 SE Viewmont Ave
Corvallis, OR 97333-1968
Mailing address
121 SE Viewmont Ave
Corvallis, OR 97333-0579
Phone (541) 766-3546
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD22548 | OR | MD | Family Medicine Physician |
| 025209 | WA | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of Clackamas Office of County Auditor | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Milwaukie, OR
- NPI 1245269315
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169424000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1213488000000",
"number": "1073667598",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "121 SE VIEWMONT AVE",
"city": "CORVALLIS",
"state": "OR",
"postal_code": "973330579",
"telephone_number": "541-766-3546",
"fax_number": "541-766-6143"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "121 SE VIEWMONT AVE",
"city": "CORVALLIS",
"state": "OR",
"postal_code": "973331968",
"telephone_number": "541-766-3546",
"fax_number": "541-766-6143"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EMBRY",
"first_name": "ALAN",
"middle_name": "LAIRD",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-22",
"last_updated": "2008-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OR",
"license": "MD22548",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Corvallis, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.