Active NPI
Alissa Paula Craft, DO
- Neonatal-Perinatal Medicine Physician
- Corvallis, OR
National Provider Identifier
1316909187
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neonatal-Perinatal Medicine Physician
- License
- 2879
- Practice address
- 3600 NW Samaritan Dr
Corvallis, OR 97330-3737 - Phone
- (541) 768-4906
- Fax
- (541) 768-4907
- NPI assigned
- Apr 5, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Neonatal-Perinatal Medicine Physician | 2080N0001X | 2879 | AZ | Primary |
Addresses
Primary practice location
3600 NW Samaritan Dr
Corvallis, OR 97330-3737
Mailing address
136 SW Washington Ave Apt 402
Corvallis, OR 97333-4877
Phone (602) 770-8967
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)
- Not enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2879 | AZ | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144195200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1243123200000",
"number": "1316909187",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "136 SW WASHINGTON AVE APT 402",
"city": "CORVALLIS",
"state": "OR",
"postal_code": "973334877",
"telephone_number": "602-770-8967",
"fax_number": "541-768-4907"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3600 NW SAMARITAN DR",
"city": "CORVALLIS",
"state": "OR",
"postal_code": "973303737",
"telephone_number": "541-768-4906",
"fax_number": "541-768-4907"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRAFT",
"first_name": "ALISSA",
"middle_name": "PAULA",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-04-05",
"last_updated": "2009-05-24",
"status": "A"
},
"taxonomies": [
{
"code": "2080N0001X",
"taxonomy_group": "",
"desc": "Pediatrics, Neonatal-Perinatal Medicine",
"state": "AZ",
"license": "2879",
"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 May 24, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.