Active NPI
Rachel Proteau
- Student in an Organized Health Care Education/Training Program
- Corvallis, OR
National Provider Identifier
1437663929
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- License
- PI-0012678
- Practice address
- Pharmacy Building
1601 SW Jefferson Way
Corvallis, OR 97331 - Phone
- (541) 737-3424
- NPI assigned
- Nov 20, 2017
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | PI-0012678 | OR | Primary |
Addresses
Primary practice location
Pharmacy Building
1601 SW Jefferson Way
Corvallis, OR 97331
Mailing address
1809 NW Olivia Cir
Albany, OR 97321-1268
Phone (541) 619-3561
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PI-0012678 | OR | MD | Student in an Organized Health Care Education/Training Program |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1511136000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1511136000000",
"number": "1437663929",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1809 NW OLIVIA CIR",
"city": "ALBANY",
"state": "OR",
"postal_code": "973211268",
"telephone_number": "541-619-3561"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "PHARMACY BUILDING",
"address_2": "1601 SW JEFFERSON WAY",
"city": "CORVALLIS",
"state": "OR",
"postal_code": "97331",
"telephone_number": "541-737-3424"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PROTEAU",
"first_name": "RACHEL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-11-20",
"last_updated": "2017-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "OR",
"license": "PI-0012678",
"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 Nov 20, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.