Active NPI
Crossroads Premiere Health Care, PC
- Neuromusculoskeletal Medicine & OMM Physician
- Corvallis, OR
National Provider Identifier
1801010806
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neuromusculoskeletal Medicine & OMM Physician
- License
- D028866
- Legal business name
- CROSSROADS PREMIERE HEALTH CARE, PC
- Practice address
- 1760 SW Third Street
Corvallis, OR 97333 - Phone
- (541) 207-3773
- Fax
- (800) 549-1017
- NPI assigned
- Apr 12, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sandra Lee Sleszynski, DO
- Title
- President
- Phone
- (541) 224-2077
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neuromusculoskeletal Medicine & OMM Physician | 204D00000X | D028866 | OR | Primary |
| Family Medicine Physician | 207Q00000X | D028866 | OR |
Addresses
Primary practice location
1760 SW Third Street
Corvallis, OR 97333
Mailing address
1760 SW Third Street
Corvallis, OR 97333
Phone (541) 224-2077
National Provider Directory
National Provider DirectoryLocations
1020 35th St
Ste 140
Kenosha, WI 53140
Phone (262) 997-2943
611 56th St
Ste 200
Kenosha, WI 53140
Phone (262) 658-8822
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176336000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1651708800000",
"number": "1801010806",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1760 SW THIRD STREET",
"city": "CORVALLIS",
"state": "OR",
"postal_code": "97333",
"telephone_number": "541-224-2077",
"fax_number": "800-549-1017"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1760 SW THIRD STREET",
"city": "CORVALLIS",
"state": "OR",
"postal_code": "97333",
"telephone_number": "541-207-3773",
"fax_number": "800-549-1017"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CROSSROADS PREMIERE HEALTH CARE, PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-12",
"last_updated": "2022-05-05",
"certification_date": "2022-05-05",
"status": "A",
"authorized_official_last_name": "SLESZYNSKI",
"authorized_official_first_name": "SANDRA",
"authorized_official_middle_name": "LEE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "541-224-2077",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "204D00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Neuromusculoskeletal Medicine & OMM",
"state": "OR",
"license": "D028866",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "OR",
"license": "D028866",
"primary": false
}
],
"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 May 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.