Organization Active NPI

Polaris Psychiatric Associates, LLC

  • Specialist
  • Corvallis, OR
National Provider Identifier
1952593758
Registry record updated Sep 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MD19576 Issued in OR
Legal business name
POLARIS PSYCHIATRIC ASSOCIATES, LLC
Practice address
975 NW Spruce Ave Ste 102
Corvallis, OR 97330-2297
Phone
(541) 738-8727
Fax
(754) 758-4503
NPI assigned
Aug 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2014

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

Authorized official

Name
Dr. Rebecca M Swiff, MD
Title
Psychiatrist
Phone
(541) 753-6445

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X MD19576 OR Primary

Addresses

Primary practice location

975 NW Spruce Ave Ste 102
Corvallis, OR 97330-2297

Mailing address

975 NW Spruce Ave Ste 102
Corvallis, OR 97330-2297
Phone (541) 738-8727

National Provider Directory

National Provider Directory

Locations

922 NW Circle Blvd
Ste 160
Corvallis, OR 97330

1600 SW Western Blvd
Ste 330
Corvallis, OR 97333
Phone (541) 738-8727

NPI Registry JSON

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

{
    "created_epoch": "1187136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410998400000",
    "number": "1952593758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "975 NW SPRUCE AVE STE 102",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973302297",
            "telephone_number": "541-738-8727",
            "fax_number": "754-758-4503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "975 NW SPRUCE AVE STE 102",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973302297",
            "telephone_number": "541-738-8727",
            "fax_number": "754-758-4503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POLARIS PSYCHIATRIC ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-15",
        "last_updated": "2014-09-18",
        "status": "A",
        "authorized_official_last_name": "SWIFF",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PSYCHIATRIST",
        "authorized_official_telephone_number": "541-753-6445",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "OR",
            "license": "MD19576",
            "primary": true
        }
    ],
    "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 Sep 18, 2014; 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.