NPIMap

Organization Active NPI

Valley Clinics

  • Primary Care Clinic/Center
  • Corvallis, OR
National Provider Identifier
1457842833
Registry record updated Oct 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
VALLEY CLINICS
Practice address
981 NW Spruce Ave
Corvallis, OR 97330-2111
Phone
(541) 758-0766
Fax
(541) 753-2737
NPI assigned
May 22, 2018
Last updated
Oct 8, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2018

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

Authorized official

Name
Mrs. Casandra Zosel
Title
Office Manager
Phone
(541) 758-0766

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X
Internal Medicine Physician 207R00000X
Primary Care Clinic/Center 261QP2300X Primary
Physician Assistant 363A00000X

Addresses

Primary practice location

981 NW Spruce Ave
Corvallis, OR 97330-2111

Mailing address

981 NW Spruce Ave
Corvallis, OR 97330-2111
Phone (541) 758-0766

Other practice location 1

3388 Pacific Blvd SW
Albany, OR 97321-7707
Phone (541) 758-0766

Other names 1

  • Valley Clinics Internal Medicine Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190221001573 OR Part B Supplier - Clinic/Group Practice 4981943776 Receives reassigned benefits from 18 practitioners
Practice locations: Albany, OR; Corvallis, OR; Salem, OR

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
38D0998408Valley Clinics Internal Medicine981 NW Spruce Avenue, Corvallis, OR 97330Certificate of waiverMar 21, 2028
38D2121245Valley Clinics Internal Medicine3388 Pacific Blvd SW, Albany, OR 97321Certificate of waiverOct 31, 2026

National Provider Directory

National Provider Directory

Locations

3388 Pacific Blvd SW
Albany, OR 97321
Phone (541) 758-0766

350 Miller St SE
Salem, OR 97302
Phone (503) 370-8784

Practitioners & affiliated clinicians

Practitioners 20

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1526947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1538956800000",
    "number": "1457842833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "981 NW SPRUCE AVE",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973302111",
            "telephone_number": "541-758-0766",
            "fax_number": "541-753-2737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "981 NW SPRUCE AVE",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973302111",
            "telephone_number": "541-758-0766",
            "fax_number": "541-753-2737"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3388 Pacific Blvd SW",
            "address_purpose": "LOCATION",
            "city": "Albany",
            "state": "OR",
            "postal_code": "973217707",
            "country_code": "US",
            "telephone_number": "541-758-0766",
            "fax_number": "541-753-2737",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "VALLEY CLINICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-22",
        "last_updated": "2018-10-08",
        "status": "A",
        "authorized_official_last_name": "ZOSEL",
        "authorized_official_first_name": "CASANDRA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "541-758-0766",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Valley Clinics Internal Medicine",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Oct 8, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.