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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

TIARA F PACKER, PA-C

Active

TIARA F PACKER, PA-C is a Surgical Physician Assistant healthcare provider located in CORVALLIS, Oregon. NPI 1447313010 is currently active in the NPPES registry. Verify at CMS.

Surgical Physician Assistant · CORVALLIS, OR

Registration Details

NPI Number
1447313010
Provider Type
Individual
Gender
Female
NPI Issued
Dec 18, 2006 (19.630143234895 yrs)
Last Updated
Sep 24, 2010
Licenses
0614 (NH)
PA130018 (OR)

Practice Information

Address
3620 NW SAMARITAN DRIVE
SUITE 202
CORVALLIS, OR, 97330
Browse OR providers · Browse ZIP 97330
Phone
5417684810
Primary Specialty
Surgical Physician Assistant
363AS0400X
Additional Specialty
Surgical Physician Assistant

Other Surgical Physician Assistant Providers in CORVALLIS, OR

Name Credential NPI
MR. ADAM B SPECHT P.A. 1528003738
MELISSA RENEE COOMBS PA 1457449316
MR. SCOTT G SIMS PA-C 1497925135
MICHELLE RENAE-PIPPEL KELLER PA-C 1154763050
MIRANDA LEE MARKESTEYN PA 1144611971
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.