NPIMap

Organization Active NPI

The Corvallis Clinic P C

Doing business as Corvallis Clinic Philomath

  • Durable Medical Equipment & Medical Supplies
  • Philomath, OR
National Provider Identifier
1932973641
Registry record updated May 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
THE CORVALLIS CLINIC P C
Doing business as
Corvallis Clinic Philomath
Corvallis Clinic Philomath DME only
Practice address
500 Main St
Philomath, OR 97370-9707
Phone
(541) 754-1272
NPI assigned
Nov 13, 2023
Last updated
May 11, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2026

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

Authorized official

Name
Emily Castillo
Title
Associate Director
Phone
(702) 480-2550

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

500 Main St
Philomath, OR 97370-9707

Mailing address

PO Box 35380
Las Vegas, NV 89133-5380
Phone (541) 754-1374

Other names 2

  • Corvallis Clinic Philomath Doing business as
  • Corvallis Clinic Philomath DME only Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240815004068 OR DME Supplier - Multi-Specialty - Physician 1456244540 Practice locations: Philomath, OR

Other NPIs with the same Medicare PAC ID 5

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Corvallis Clinic PC18 organizations share this tax ID, including this one
Part of
Corvallis Clinic PC

Other organizations with this tax ID 17

Organizations that report the same tax identification number in the National Provider Directory.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1699833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778457600000",
    "number": "1932973641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 35380",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891335380",
            "telephone_number": "541-754-1374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 MAIN ST",
            "city": "PHILOMATH",
            "state": "OR",
            "postal_code": "973709707",
            "telephone_number": "541-754-1272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE CORVALLIS CLINIC P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-13",
        "last_updated": "2026-05-11",
        "certification_date": "2026-05-11",
        "status": "A",
        "authorized_official_last_name": "CASTILLO",
        "authorized_official_first_name": "EMILY",
        "authorized_official_title_or_position": "ASSOCIATE DIRECTOR",
        "authorized_official_telephone_number": "702-480-2550"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Corvallis Clinic Philomath",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Corvallis Clinic Philomath DME only",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Philomath, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 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.

Verify at the official NPI Registry.