House Call Doc LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

MD17598 Issued in OR

Legal business name

HOUSE CALL DOC LLC

Practice address

2610 NW Glenwood Dr
House Call Doc, LLC
Corvallis, OR 97330-3134

Phone

(541) 740-3340

Fax

(541) 207-3520

NPI assigned

Jun 1, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Elizabeth Hunt WaldronNPI 1417111295

Title

Registered Agent

Phone

(541) 740-3340

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Elizabeth H Waldron, MD

  • Geriatric Medicine (Internal Medicine) Physician
  • Corvallis, OR
  • NPI 1417111295
  Authorized official Same address or phone

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

{
    "created_epoch": "1306886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306886400000",
    "number": "1467746065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2610 NW GLENWOOD DR",
            "address_2": "HOUSE CALL DOC, LLC",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973303134",
            "telephone_number": "541-740-3340",
            "fax_number": "541-207-3520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2610 NW GLENWOOD DR",
            "address_2": "HOUSE CALL DOC, LLC",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973303134",
            "telephone_number": "541-740-3340",
            "fax_number": "541-207-3520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOUSE CALL DOC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-01",
        "last_updated": "2011-06-01",
        "status": "A",
        "authorized_official_last_name": "WALDRON",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "HUNT",
        "authorized_official_title_or_position": "REGISTERED AGENT",
        "authorized_official_telephone_number": "541-740-3340",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "OR",
            "license": "MD17598",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Horowitz
• Jordan Taylor Horrell, CPCO
• Kiri N. Horsey, MS, LPC
• Jonna Michelle Houck
• Pamela J Hough, O.T.
• George Rolland House III, DC
• Brittany Simone Houston, D.O.
• James Houston, ED. D
• Hov Operations, LLC (Avamere Heart of the Valley Rehabilitation)
• Amy Aiko Hovland

• Primary Care Clinic/Center in Corvallis, OR
• Providers in Corvallis, OR by specialty
• Primary Care Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2011; 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.