Jalien Katrice Dorris, DO
Individual provider Active NPI Family Medicine Physician · Albany, OR
NPI 1497985931 · NPPES record last updated Jun 3, 2021
Key facts
- NPI
- 1497985931
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- DO175353 (OR)
- Practice address
- 633 N Albany Rd NW
Albany, OR 97321-1433 - Phone
- (541) 926-3441
- Fax
- (844) 427-6168
- NPI assigned
- Jul 17, 2009
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 6
Hospital & facility affiliations 53
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- The Corvallis Clinic P C
Practice addresses (Care Compare)
633 N Albany Rd NW
Albany, OR 97321-1433
Phone (541) 754-1150
Hospital & facility affiliations
- Samaritan Albany General Hospital
- Good Samaritan Regional Medical Center
- Samaritan Lebanon Community Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20161109002824 | OR | Practitioner - Family Practice | 5991985434 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 776 | NE | MD | Addiction (Substance Use Disorder) Counselor |
| DO175353 | OR | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Corvallis Clinic P C | Current |
Accepting new patients |
Locations
444 NW Elks Dr
Corvallis, OR 97330
Phone (541) 754-1256
3680 NW Samaritan Dr
Corvallis, OR 97330
Phone (541) 754-1282
500 Main St
Philomath, OR 97370
Phone (541) 609-4071
Interoperability endpoints
- https://api.platform.athenahealth.com/14349/brand/4/csg/42/fhir/r4
- jalien.dorris.1@14349.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | DO175353 | OR | Yes |
Addresses
Primary practice location
633 N Albany Rd NW
Albany, OR 97321-1433
Mailing address
444 NW Elks Dr
Corvallis, OR 97330-3745
Phone (541) 754-1150
Other providers in Albany, OR
- Yen DO
- Sabrina Dominguez
- Stephanie Elizabeth Donavant
- Julia Kendria Donner
- Todd Lyle Donner
- Anna Lee Doughty
- Karen Douglas
- Deanna Dowlin
- Downtown Eyecare LLC.
- Daniel James Dowswell
All providers in Albany, OR · Family Medicine Physician in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 3, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.