Organization Active NPI

Envision Women'S Health and Wellness, LLC

  • Clinic/Center
  • Corvallis, OR
National Provider Identifier
1346680097
Registry record updated Jun 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
088000249N5-PP Issued in OR
Legal business name
ENVISION WOMEN'S HEALTH AND WELLNESS, LLC
Practice address
833 NW Buchanan Ave
Suite 7
Corvallis, OR 97330-6217
Phone
(541) 753-6000
Fax
(541) 753-6001
NPI assigned
Jun 26, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Linda Stauff Lieberman, CNM, MSN, NPNPI 1699803932
Title
Owner
Phone
(541) 753-6000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 088000249N5-PP OR Primary

Addresses

Primary practice location

833 NW Buchanan Ave
Suite 7
Corvallis, OR 97330-6217

Mailing address

3080 NW Autumn St
Corvallis, OR 97330-3802
Phone (541) 753-6000

National Provider Directory

National Provider Directory

Locations

833 NW Buchanan Ave
Ste 7
Corvallis, OR 97330
Phone (541) 753-6000

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1372204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372204800000",
    "number": "1346680097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3080 NW AUTUMN ST",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973303802",
            "telephone_number": "541-753-6000",
            "fax_number": "541-753-6001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "833 NW BUCHANAN AVE",
            "address_2": "SUITE 7",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973306217",
            "telephone_number": "541-753-6000",
            "fax_number": "541-753-6001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENVISION WOMEN'S HEALTH AND WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-26",
        "last_updated": "2013-06-26",
        "status": "A",
        "authorized_official_last_name": "LIEBERMAN",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "STAUFF",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-753-6000",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CNM, MSN, NP"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "OR",
            "license": "088000249N5-PP",
            "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 26, 2013; 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.