Active NPI
Corvallis Radiology PC
- Diagnostic Radiology Physician
- Corvallis, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 18144
- Legal business name
- CORVALLIS RADIOLOGY PC
- Practice address
- 777 NW 9TH St Ste 210C
Corvallis, OR 97330-6169 - Phone
- (541) 452-8002
- Fax
- (541) 758-3713
- NPI assigned
- Apr 28, 2006
- Last updated
- Oct 16, 2026
- 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
- Mr. Leila Bender
- Title
- Managing Member
- Phone
- (541) 452-8002
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 18144 | OR | Primary |
Addresses
Primary practice location
777 NW 9TH St Ste 210C
Corvallis, OR 97330-6169
Mailing address
PO Box 745249
Los Angeles, CA 90074-5249
Phone (800) 475-3698
Other practice location 1
3600 NW Samaritan Dr
Corvallis, OR 97330-3737
Phone (800) 475-3698
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 142612 | Medicaid | OR |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| FHIR URL | https://cpiapigateway.cms.gov/api/esmdf/ext/v1/fhir/Practitioner/ | Other | Management Services Network, LLC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR, WA, CA, MT, AZ, CO, FL, KS, MI, WI, TX, HI, GA, ID, PA, MD, VA, MA, NV, SC, UT, NY
Enrollment records 22
National Provider Directory
National Provider DirectoryMember organizations 2
Organizations listed as members of this organization in the National Provider Directory.
-
dba Corvallis MRI
- Magnetic Resonance Imaging (MRI) Clinic/Center
- Corvallis, OR
- NPI 1952529620
Member Of
-
- Magnetic Resonance Imaging (MRI) Clinic/Center
- Lebanon, OR
- NPI 1417135880
Member Of
Locations
1700 Geary St SE
Ste 400
Albany, OR 97322
Phone (541) 812-5500
400 Hickory St NW
Albany, OR 97321
Phone (541) 812-4135
3615 NW Samaritan Dr
Ste 101
Corvallis, OR 97330
Phone (541) 757-5187
5234 SW Philomath Blvd
Ste B
Corvallis, OR 97333
Phone (541) 768-4970
777 NW 9th St
Ste 210C
Corvallis, OR 97330
Phone (541) 452-8002
938 NW Kings Blvd
Corvallis, OR 97330
Phone (541) 758-5407
325 Park St
Lebanon, OR 97355
Phone (541) 451-7200
505 N Santiam Hwy
Lebanon, OR 97355
Phone (541) 451-6950
2811 E Madison St
Ste 202
Seattle, WA 98112
Practitioners & affiliated clinicians
Practitioners 74
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.
-
- Diagnostic Radiology Physician
- Corvallis, OR
- NPI 1619061165
-
- Diagnostic Radiology Physician
- Corvallis, OR
- NPI 1215147475
-
- Diagnostic Radiology Physician
- Corvallis, OR
- NPI 1750679817
-
- Diagnostic Radiology Physician
- Salem, OR
- NPI 1669518049
-
- Diagnostic Radiology Physician
- Newport, OR
- NPI 1013442425
-
- Diagnostic Radiology Physician
- Corvallis, OR
- NPI 1255398681
-
- Vascular & Interventional Radiology Physician
- Corvallis, OR
- NPI 1689882730
-
- Diagnostic Radiology Physician
- Salem, OR
- NPI 1154488021
-
- Diagnostic Radiology Physician
- Corvallis, OR
- NPI 1841258647
-
- Diagnostic Radiology Physician
- Corvallis, OR
- NPI 1679032502
-
- Diagnostic Radiology Physician
- McMinnville, OR
- NPI 1841269750
-
- Diagnostic Radiology Physician
- Corvallis, OR
- NPI 1659545176
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146182400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1792108800000",
"number": "1881651289",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 745249",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900745249",
"telephone_number": "800-475-3698",
"fax_number": "541-758-3713"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "777 NW 9TH ST STE 210C",
"city": "CORVALLIS",
"state": "OR",
"postal_code": "973306169",
"telephone_number": "541-452-8002",
"fax_number": "541-758-3713"
}
],
"practiceLocations": [
{
"address_1": "3600 NW Samaritan Dr",
"address_purpose": "LOCATION",
"city": "Corvallis",
"state": "OR",
"postal_code": "973303737",
"country_code": "US",
"telephone_number": "800-475-3698",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "CORVALLIS RADIOLOGY PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-04-28",
"last_updated": "2026-10-16",
"certification_date": "2026-10-16",
"status": "A",
"authorized_official_last_name": "BENDER",
"authorized_official_first_name": "LEILA",
"authorized_official_title_or_position": "MANAGING MEMBER",
"authorized_official_telephone_number": "541-452-8002",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "OR",
"license": "18144",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "142612",
"state": "OR"
}
],
"endpoints": [
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://cpiapigateway.cms.gov/api/esmdf/ext/v1/fhir/Practitioner/",
"affiliation": "Y",
"endpointDescription": "urn:oid:2.16.840.1.113883.3.1036.1",
"affiliationName": "Management Services Network, LLC",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "CMS esMD eMDR",
"address_1": "2357 Warm Springs Rd Ste 400",
"city": "Columbus",
"state": "GA",
"country_code": "US",
"postal_code": "319046874",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Corvallis, OR
- Corvallis MRI a Joint Venture (Corvallis MRI)
- Corvallis Natural Medicine, Inc
- Corvallis Neuropsychology LLC
- Corvallis Pediatrics, LLC
- Corvallis Physical Therapy Inc
- Corvallis School District 509J
- Corvallis School District 509J
- Corvallis School District 509J
- Corvallis Sport and Spine Physical Therapy Inc
- Corvallis Vision Cneter P.C.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.